SOUTH LAKE PAIN INSTITUTE, INC is a specialist in Clermont, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH LAKE PAIN INSTITUTE, INC NPI is 1033121546. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is South Lake Pain Institute, Pa.
The provider's business location address is:
2440 HOOKS STREET
CLERMONT, FL
ZIP 34711
Phone: (352) 394-0833
Fax: (352) 394-0367
The provider's authorized official is Samildre Pacheco .
The authorized official title is Practice Administrator and has the following contact phone number (352) 394-0833.
The CLIA number assigned to this NPI record is 10D1075893 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/13/2006 and was last updated on 10/8/2019.