CHARLOTTE PAIN MANAGEMENT CENTER INC NPI 1275797714

NPI Information

NPI: 1275797714
Provider Name: CHARLOTTE PAIN MANAGEMENT CENTER INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3109 TAMIAMI TRL
UNIT 3
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 629-3000
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CHARLOTTE PAIN MANAGEMENT CENTER INC is a general practice in Port Charlotte, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHARLOTTE PAIN MANAGEMENT CENTER INC NPI is 1275797714. The provider is registered as an organization entity type.

The provider's business location address is:

3109 TAMIAMI TRL
UNIT 3
PORT CHARLOTTE, FL
ZIP 33952-046
Phone: (941) 629-3000
Fax: (941) 629-6711

The provider's authorized official is Nancy J Harris .
The authorized official title is Owner and has the following contact phone number (941) 629-3000.

The enumeration date for this NPI number is 7/14/2008 and was last updated on 7/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			No
2	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN1855592	OTHER	FLORIDA	FLORIDA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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