| NPI | 1992081715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMANT SHAH President 904-458-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME95262) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |