| NPI | 1972278042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F CONDON Owner 941-626-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-10-04 |