| NPI | 1902740335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SIDHOM Owner 941-343-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-07-07 |