| NPI | 1821649807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LEAH SYMONETTE Administrator 321-442-8009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2019-09-22 |
| Last Update Date | 2019-09-22 |