| NPI | 1962955765 |
|---|---|
| Doing Business As | OMNI SPINE & JOINT - RIVERVIEW |
| Former Legal Business Name | OMNI PAIN CARE, PA |
| Entity Type | Organization |
| Authorized Contact | SIDHARTH PANCHAMIA President/Manager 813-533-5522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME106682) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-01-31 |