| NPI | 1932484367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DAVID WATSON Owner 727-360-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME 105674) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |