| NPI | 1881678332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR L. LLANERA Owner 850-477-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0000X | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-10-31 |