| NPI | 1629436910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HABER Owner 941-488-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2019-10-01 |