| NPI | 1699189449 |
|---|---|
| Other Name | PAIN MGMT AT HERITAGE HARBOR |
| Entity Type | Organization |
| Authorized Contact | ILENE GILBERT COO 941-917-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME111784) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |