| NPI | 1861890584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAULIK BHALANI Owner 813-388-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME102285) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |