| NPI | 1871791368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY ROBERT DENNISON Owner 813-876-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME0069243) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-05-18 |