| NPI | 1699947465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K ROGGOW President 239-768-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS6278) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-05-27 |