| NPI | 1730163635 |
|---|---|
| Doing Business As | NORTH PORT INTERVENTIONAL PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | WITFORD L REID President 863-471-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL HCC4693) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-12-11 |