10D2060184 CLIA NUMBER - ADVANCED INTERVENTIONAL PAIN CLINIC

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Laboratory Demographics

CLIA Number: 10D2060184

Facility Name: ADVANCED INTERVENTIONAL PAIN CLINIC

Facility Address:
1530 CITRUS MEDICAL CT STE 101
OCOEE, FL
ZIP 34761
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Facility Phone Number: 561 241-9300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144649823

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	10D2060184
LAB Type	Physician Office
Facility Name	ADVANCED INTERVENTIONAL PAIN CLINIC
Street	1530 CITRUS MEDICAL CT STE 101
City	OCOEE
State	FL
ZIP	34761
Phone	561 241-9300
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

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