NPI | 1720214836 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW BLACK President 239-592-5367 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL BB4722244) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2009-06-03 |