| NPI | 1699393033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO POTO Owner / Authorized Official 772-446-4883 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |