| NPI | 1902064876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN SAJAN Owner 407-622-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME109651) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2017-06-13 |