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 Pain Medicine, Pain Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2019-05-31 |
Last Update Date | 2024-11-11 |