Pain Care Management of Clearwater, LLC

NPI #1790094829 in Clearwater, Florida

Provider Information

NPI Number
1790094829
Entity Type
Organization
Organization Name
Pain Care Management of Clearwater, LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Oct 7, 2010
Last Updated
Feb 13, 2014

Practice Location

Address
51 S MAIN AVE
Address 2
SUITE 318
State
Florida
ZIP Code
33765-3952
Phone
(727) 572-6261

Authorized Official

Name
MR. C R LONG
Title
MANAGING MEMBER
Phone
(321) 251-4462

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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