Southeastern Integrated Medical Pl

NPI #1720419484 in Chiefland, Florida

Provider Information

NPI Number: 1720419484
Entity Type: Organization
Organization Name: Southeastern Integrated Medical Pl
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHEASTERN INTEGRATED MEDICAL PL
Primary Specialty: Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date: Dec 6, 2013
Last Updated: Dec 6, 2013

Practice Location

Address: 1315 NW 21ST AVE
Address 2: SUITE 2
City: Chiefland
State: Florida
ZIP Code: 32626-1977
Phone: (352) 493-1741

Authorized Official

Name: JESSE A LIBNICK, M.D.
Title: PHYSICIAN
Phone: (352) 493-1741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X	Primary

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DR. Allen C Tafel, M.D.	Physical Medicine & Rehabilitation - Pain Medicine	Fort Myers	AI Deep Dive
DR. Bao Tien Pham, D.O	Physical Medicine & Rehabilitation - Pain Medicine	Jacksonville	AI Deep Dive
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Organizations

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South Florida Institute of Pain Management LLC	Physical Medicine & Rehabilitation - Pain Medicine	Miami	AI Deep Dive

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