| NPI | 1740506435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN K. SAJAN Owner 407-622-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME109651) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: FL ME109651) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: FL ME109651) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-10-18 |