10D2278349 CLIA NUMBER - FLORIDA PAIN RELIEF GROUP, PLLC

Laboratory Demographics

CLIA Number: 10D2278349

Facility Name: FLORIDA PAIN RELIEF GROUP, PLLC

Facility Address:
13007 SUMMERFIELD SQUARE DR
RIVERVIEW, FL
ZIP 33579
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Facility Phone Number: 813 539-2134

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023600269

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	10D2278349
LAB Type	Physician Office
Facility Name	FLORIDA PAIN RELIEF GROUP, PLLC
Street	13007 SUMMERFIELD SQUARE DR
City	RIVERVIEW
State	FL
ZIP	33579
Phone	813 539-2134
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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