| NPI | 1639333859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN JOSHUA HANFLINK President 352-357-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL OS9725) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-04-21 |