| NPI | 1982613782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMA L. JONES Vice President 772-465-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL HCCR3622) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-08-23 |