| NPI | 1942626494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MATTHEW GROTEKE Owner 727-488-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME115987) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |