10D1098969 CLIA NUMBER - PAIN MANAGEMENT INSTITUTE OF ORLANDO LLC

Laboratory Demographics

CLIA Number: 10D1098969

Facility Name: PAIN MANAGEMENT INSTITUTE OF ORLANDO LLC

Facility Address:
499 E CENTRAL PKWY STE 115
ALTAMONTE SPRINGS, FL
ZIP 32701
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Facility Phone Number: 407 671-5115

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033309570

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	10D1098969
LAB Type	Physician Office
Facility Name	PAIN MANAGEMENT INSTITUTE OF ORLANDO LLC
Street	499 E CENTRAL PKWY STE 115
City	ALTAMONTE SPRINGS
State	FL
ZIP	32701
Phone	407 671-5115
CertificateType	4
CertificateEffectiveDate	1/15/2024
CertificateExpirationDate	1/14/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024