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NPI Code Detail

MEDICARE: PAIN MANAGEMENT AND INTERVENTIONAL NERVE BLOCK SPECIATLISTS LLC

MEDICARE: PAIN MANAGEMENT AND INTERVENTIONAL NERVE BLOCK SPECIATLISTS LLC
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
12084P2900XPain Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number : 1558399287
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAIN MANAGEMENT AND INTERVENTIONAL NERVE BLOCK SPECIATLISTS LLC
Provider Business Mailing Address
First Line : PO BOX 14657
Second Line :
City : CLEARWATER
State : FL
Zip : 33766-4657
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 FRIST BLVD STE 7
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4800
Country : US
Telephone Number : 727-797-6768
Fax Number : 727-797-7648
Authorized Official
Title or Position : OWNER
Name : SCOTT KATZMAN
Credential : M.D.
Telephone Number : 561-723-0666
Provider Enumeration Date : 06/29/2006
Last Update Date : 08/22/2020

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Directions to “PAIN MANAGEMENT AND INTERVENTIONAL NERVE BLOCK SPECIATLISTS LLC ” Practice Location

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