| NPI | 1669536645 |
|---|---|
| Other Name | PARAGON LOCATION |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LEACH Director, Credentialing 239-449-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-02-15 |