| NPI | 1710515895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT DEPASQUALE Owner/ Provider 352-398-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2021-09-03 |