| NPI | 1770872814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BODO PYKO Physician/Medical Director 407-293-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS1683) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |