| NPI | 1740750967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY R FOLTZ Owner 904-449-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| 225100000X Physical Therapist | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-08-20 |