| NPI | 1992024442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN HELMS Credentialing Agent 850-547-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 059870) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |