10D1106407 CLIA NUMBER - PAIN HEALING CENTER LLC

Laboratory Demographics

CLIA Number: 10D1106407

Facility Name: PAIN HEALING CENTER LLC

Facility Address:
1749 S KINGS AVE
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 333-1819

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1538398995

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	10D1106407
LAB Type	Physician Office
Facility Name	PAIN HEALING CENTER LLC
Street	1749 S KINGS AVE
City	BRANDON
State	FL
ZIP	33511
Phone	813 333-1819
CertificateType	1
CertificateEffectiveDate	6/5/2023
CertificateExpirationDate	6/4/2025
FacilityType	Accreditation

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