Advanced Interventional Pain Center Fl
Pain Medicine, Interventional Pain Medicine in Clearwater, FL. Organization (NPI-2).
NPI number1700403847
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1700403847
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Interventional Pain Center Fl
- Organization subpart
- Yes
- Enumeration date
- Jul 5, 2020
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
2189 Cleveland St Ste 211Clearwater, FL 33765-3213
Phone 727-474-6507
Mailing address
2189 Cleveland St Ste 211Clearwater, FL 33765-3213
Phone 727-474-6507
Other practice locations
4019 W Waters Ave Ste A
Tampa, FL 33614-2333
Tampa, FL 33614-2333
Phone 727-474-6507
4738 Grand Blvd Ste G
New Port Richey, FL 34652-5170
New Port Richey, FL 34652-5170
Phone 727-474-6507
Authorized official
Pattanam Srinivasan
Medical Director
7658910721
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