Southeastern Interventional Pain Physicians, P.a.

NPI #1700843513 in Mary Esther, Florida

Provider Information

NPI Number: 1700843513
Entity Type: Organization
Organization Name: Southeastern Interventional Pain Physicians, P.a.
Primary Specialty: Specialist
Enumeration Date: Apr 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 151 MARY ESTHER BLVD
Address 2: SUITE 303
City: Mary Esther
State: Florida
ZIP Code: 32569-1972
Phone: (850) 243-7788

Authorized Official

Name: PATRICIA NEWSOM
Title: MEDICAL BILLER
Phone: (850) 243-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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