| NPI | 1114786001 |
|---|---|
| Doing Business As | PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SHANNEN SEVERSEN President 561-292-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-06-06 |