| NPI | 1902313901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L FRIEDMAN Owner 239-272-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |