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Contact Information

INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA
11319 CORTEZ BLVD
BROOKSVILLE, FL34613-5407
 Phone: 352-597-0907
 Fax: 352-597-2243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA · (Female)

NPI # 1235227075
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2006
Last updated 12/29/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 276400470
  • FL Medicaid 377097400
  • Other 07882 BLUE CROSS/BLUE SHIELD
  • Other 5301427 GHI
  • Other CA4235 RRMC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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