| NPI | 1952255895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH JACKSON Vice President 352-717-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2026-02-26 |
| Last Update Date | 2026-02-26 |