| NPI | 1639464191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTLAND TWYMAN Pstd 941-921-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL LC9311) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-07-01 |