| NPI | 1932452034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HASHIM Owner 727-861-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL 74355) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL 74355) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |