| NPI | 1780139451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN MEJIAS Owner 407-657-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME104722) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-10-10 |