| NPI | 1811502594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB WHITFIELD Chief Operating Officer 813-579-2699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |