| NPI | 1255494803 |
|---|---|
| Doing Business As | PAIN MEDICINE GROUP |
| Entity Type | Organization |
| Authorized Contact | MARLO A REYES Practice Manager 941-365-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME116503) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME37642) |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-11-14 |