INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC

MELBOURNE, FL
NPI1093695504
Entity TypeOrganization
Authorized ContactPHAEDRA L SHUDRA
Credentialing And Contracting Speci
813-785-4861
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Additional Taxonomies207L00000X Anesthesiology
207RH0002X Internal Medicine, Hospice and Palliative Medicine
207LP2900X Anesthesiology, Pain Medicine
208VP0000X 
208100000X Physical Medicine & Rehabilitation
Enumeration Date2025-09-04
Last Update Date2025-09-26
Business Address
INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC
6559 N WICKHAM RD
MELBOURNE, FL 32940-2052
Phone number: 772-360-1997
Mailing Address
INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC
777 37TH ST STE C101
VERO BEACH, FL 32960-7301
Phone number: 772-360-1997