| NPI | 1689031619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE SACKHEIM Administrator 850-637-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME0042339) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |