| NPI | 1700015682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA L. SEIJAS Practice Administrator 352-688-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL HCC8512) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |