NPI | 1912105172 |
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Doing Business As | FLORIDA GULF TO BAY PAIN MEDICINE |
Entity Type | Organization |
Authorized Contact | DEVANAND MANGAR Owner/President 813-844-4434 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
Enumeration Date | 2007-07-10 |
Last Update Date | 2009-12-09 |