Advanced Pain Clinic PA
Anesthesiology, Pain Medicine in Orlando, FL. Organization (NPI-2).
NPI number1063689511
StatusActive
Last updated in NPPESMay 14, 2008
Details
- NPI
- 1063689511
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pain Clinic PA
- Organization subpart
- No
- Enumeration date
- May 14, 2008
- Last updated
- May 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | ME0066759 | FL | Yes |
Practice location
3901 E Colonial DrOrlando, FL 32803-5245
Phone 407-935-9404
Mailing address
505 W Vine St301
Kissimmee, FL 34741-4123
Phone 407-935-9404
Authorized official
Vrajlal L Rajyaguru
Medical Director
4079359404
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