| NPI | 1962871160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS ANATRA Practice Manager 941-926-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ARNP9255637) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |