| NPI | 1679783948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATA UL MOHSIN M.D Owner 850-913-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL me87428) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-09-27 |