| NPI | 1942868377 |
|---|---|
| Doing Business As | DEDICATED PAIN & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SOURIAL MORRIS SOURIAL President 904-944-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 208VP0000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-11-11 |