| NPI | 1932235280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W LANCE MCKITRICK Owner 863-709-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME79018) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |