National Provider Identifier Database

INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.


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
* Interventional Pain Medicine 208VP0014X

* Indicates primary specialty

NPI Profile & details for INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA

NPI Number 1235227075
Legal business name
LBN
INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA
Authorized official DEBORAH TRACY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/10/2006
Last updated 12/29/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 276400470
  • FL Medicaid: 377097400
  • Other: 07882 BLUE CROSS/BLUE SHIELD
  • Other: 5301427 GHI
  • Other: CA4235 RRMC

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.

Reviews for INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA

There are currently no reviews for INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA


NPIdb - Home
v2.201