10D2243914 CLIA NUMBER - UNITED SPINE AND PAIN PLLC

Laboratory Demographics

CLIA Number: 10D2243914

Facility Name: UNITED SPINE AND PAIN PLLC

Facility Address:
3902 N 9TH AVENUE, SUITE 1
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: 850 633-4877

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780233775

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	10D2243914
LAB Type	Physician Office
Facility Name	UNITED SPINE AND PAIN PLLC
Street	3902 N 9TH AVENUE, SUITE 1
City	PENSACOLA
State	FL
ZIP	32503
Phone	850 633-4877
CertificateType	4
CertificateEffectiveDate	11/23/2023
CertificateExpirationDate	11/22/2025
FacilityType	Waiver

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