Pain Diagnostic & Management Center Llc
May also be knows as Pain Diagnostic & Management Center
Pain Medicine Physician in Winter Haven, FL(View on Map)
Legal Business Name
Pain Diagnostic & Management Center Llc
Also Known As
Pain Diagnostic & Management Center
NPI Number
1700988672
NPI Type
Organization
Enumeration Date
09/02/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
321 E ROBERTSON ST
537 E CENTRAL AVE
City
Brandon
Winter Haven
State
FL
FL
Postal Code
33511-5253
33880-3054
Country
US
US
Telephone Number
(813) 685-2191
(863) 293-3656
Authorized Official
Name
Peggy Vent
Title or Position
BILLING REP
Telephone Number
(813) 685-2191
Identifiers
Identifier
593467412
Identifier State
FL
Identifier Issuer
TAX ID
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/22/2010
Provider Address
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