Omega Pain Jax, INC

NPI #1740566421 in Venice, Florida

Provider Information

NPI Number
1740566421
Entity Type
Organization
Organization Name
Omega Pain Jax, INC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Oct 26, 2011
Last Updated
Oct 26, 2011

Practice Location

Address
837 LAUREL AVE
City
Venice
State
Florida
ZIP Code
34285-4720
Phone
(941) 232-6739

Authorized Official

Name
JAMES H COKER
Title
PRESIDENT
Phone
(941) 232-6739

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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