10D2017362 CLIA NUMBER - INTEGRATED PAIN SOLUTIONS OF SOUTH FLORIDA

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Laboratory Demographics

CLIA Number: 10D2017362

Facility Name: INTEGRATED PAIN SOLUTIONS OF SOUTH FLORIDA

Facility Address:
5353 N FEDERAL HWY STE 301
FORT LAUDERDALE, FL
ZIP 33308
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Facility Phone Number: 954 772-7552

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497080790

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	10D2017362
LAB Type	Physician Office
Facility Name	INTEGRATED PAIN SOLUTIONS OF SOUTH FLORIDA
Street	5353 N FEDERAL HWY STE 301
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	954 772-7552
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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