Pain Clinic Of Northwest Fl, Inc

LBN: Pain Clinic Of Northwest Fl, Inc
Pain Clinic Of Northwest Fl, Inc is an health care organization with primary practice located at 4284 Kelson Ave , Marianna FL 32446. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pain Clinic Of Northwest Fl, Inc can be contacted via phone (850) 784-2477, or through Joseph, Robert J via phone (850) 784-2477.

Contact Information

Primary practice address
4284 Kelson Ave Marianna FL 32446
Phone: (850) 784-2477
Fax: (850) 784-6848
Website:
Map and Directions
Authorized official contact:
Name: Joseph, Robert J Doctor of Medicine (MD)
Phone: (850) 784-2477

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1225244395
LBN Legal business name Pain Clinic Of Northwest Fl, Inc
DBA Doing business as
Authorized official Joseph, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jan 3rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225244395 NPPES
Florida Other 3857260001 DMERC PTAN
Florida MEDICAID 2680076 01 DMERC PTAN
Florida Other CM7126 DMERC PTAN

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