| NPI | 1750399200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VANDERCAR Owner 813-769-5629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: FL ME58829) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-27 |