| NPI | 1871019729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN MEJIAS Vice President 407-493-3979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-10-16 |