| 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 |