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 |