| NPI | 1861729022 |
|---|---|
| Other Name | GTBA PAIN WESLEY CHAPEL |
| Entity Type | Organization |
| Authorized Contact | DEVANAND MANGAR CEO/President 813-844-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2012-04-27 |