| NPI | 1922248830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINE K YANKOPOLUS President 239-590-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: FL ME22595) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2013-07-31 |