| NPI | 1851587406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO DIEGUEZ Owner 904-824-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME41955) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-03-07 |