| NPI | 1689774838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GREEN Practice Manager 407-649-8707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL 5000-0064/320-000615) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-04-29 |