| NPI | 1962112151 |
|---|---|
| Other Name | CFPT |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |