| NPI | 1730963505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAULIK K BHALANI Owner 813-388-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |