NPI | 1306587241 |
---|---|
Doing Business As | CLEARWAY PAIN SOLUTIONS INSTITUTE |
Entity Type | Organization |
Authorized Contact | KACEY A MONTGOMERY Regional Medical Director 352-359-6634 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-02-15 |