| NPI | 1891315859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY SASTRY Owner 407-280-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |