| NPI | 1871143966 |
|---|---|
| Doing Business As | BRANDON PAIN TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWARD LUGO President 813-817-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |