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Center For Addiction And Pain Management, LLC.

Clinic/Center, Multi-Specialty in Clermont, FL. Organization (NPI-2).

NPI number1295196459
StatusActive
Last updated in NPPESSep 5, 2018

Details

NPI
1295196459
Entity type
Organization (NPI-2)
Legal business name
Center For Addiction And Pain Management, LLC.
Organization subpart
No
Enumeration date
Mar 16, 2016
Last updated
Sep 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-SpecialtyME 126938FLYes

Practice location

235 Citrus Tower Boulevard
Suite 104
Clermont, FL 34711

Phone 352-404-8160 · Fax 352-404-8560

Mailing address

235 Citrus Tower Boulevard
Suite 104
Clermont, FL 34711

Phone 352-404-8160 · Fax 352-404-8560

Authorized official

Obed Saint-Louis
Ceo
7726632492

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