MEDICARE: AMERICAN PAIN EXPERTS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1750682654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN PAIN EXPERTS, INC

Provider Business Mailing Address
First Line	:	1907 CRAYTON RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5022
Country	:	US
Telephone Number	:	352-283-1540
Fax Number	:

Provider Business Practice Location Address
First Line	:	6333 N FEDERAL HWY STE 250
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1910
Country	:	US
Telephone Number	:	954-628-3350
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TOM MACEK
Credential	:	MD
Telephone Number	:	352-283-1540

Provider Enumeration Date	:	11/08/2010
Last Update Date	:	11/08/2010

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