INTERVENTIONAL PAIN REHAB AND REGENERATIVE CENTER OF FLORIDA

ORANGE CITY, FL
NPI1336687391
Doing Business AsANTI-AGING, REGENERATION AND PAIN CENTER
Entity TypeOrganization
Authorized ContactGEORGE TATAW BESONG
President & CEO
386-747-9771
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: FL  ME92729)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME123086)
207V00000X Obstetrics & Gynecology
(Licence: FL  ME92729)
208VP0000X 
(Licence: FL  ME92729)
Enumeration Date2017-02-09
Last Update Date2019-01-09
Business Address
INTERVENTIONAL PAIN REHAB AND REGENERATIVE CENTER OF FLORIDA
2275 N VOLUSIA AVE
ORANGE CITY, FL 32763-2833
Phone number: 386-774-0109
Mailing Address
INTERVENTIONAL PAIN REHAB AND REGENERATIVE CENTER OF FLORIDA
2111 HONTOON RD
DELAND, FL 32720-4308
Phone number: 386-747-9771
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