| NPI | 1700988672 |
|---|---|
| Other Name | PAIN DIAGNOSTIC & MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | PEGGY E VENT Billing Rep 813-685-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-04-22 |