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10D1100832 CLIA NUMBER - COLLIER HMA PHYSICIAN MANAGEMENT LLC

Laboratory Demographics

CLIA Number: 10D1100832

Facility Name: COLLIER HMA PHYSICIAN MANAGEMENT LLC

Facility Address:
24231 WALDEN CENTER DR STE 100
BONITA SPRINGS, FL
ZIP 34134
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Facility Phone Number: 239 354-4590

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1164090874

Taxonomy: 208VP0000X - Pain Medicine
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

CLIA Record

Field Name Field Value
CLIA Number 10D1100832
LAB Type Physician Office
Facility Name COLLIER HMA PHYSICIAN MANAGEMENT LLC
Street 24231 WALDEN CENTER DR STE 100
City BONITA SPRINGS
State FL
ZIP 34134
Phone 239 354-4590
CertificateType 4
CertificateEffectiveDate 6/12/2023
CertificateExpirationDate 6/11/2025
FacilityType Waiver

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