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Advanced Integrated Pain & Spine Solutions

in Clermont, FL. Organization (NPI-2).

NPI number1023763570
StatusActive
Last updated in NPPESMar 1, 2022

Details

NPI
1023763570
Entity type
Organization (NPI-2)
Legal business name
Advanced Integrated Pain & Spine Solutions
Organization subpart
No
Enumeration date
Feb 14, 2022
Certification date
Mar 1, 2022
Last updated
Mar 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes

Practice location

1925 Don Wickham Dr
Clermont, FL 34711-1915

Phone 407-807-0098 · Fax 407-530-0864

Mailing address

Po Box 607
Minneola, FL 34755-0607

Phone 407-807-0098 · Fax 407-530-0864

Authorized official

Narendren Narayanasamy
Owner
4078070098

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