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SAR PAIN INSTITUTE LLC NPI 1104104785


NPI Information

NPI: 1104104785
Provider Name: SAR PAIN INSTITUTE LLC

Doing Business As: SAR MEDICAL INSTITUTE OF CAPE CORAL

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
2706 SE SANTA BARBARA PL
CAPE CORAL, FL
ZIP 33904
Phone: (239) 471-0721
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SAR PAIN INSTITUTE LLC is a pain clinic center in Cape Coral, FL. SAR PAIN INSTITUTE LLC NPI is 1104104785. The provider is registered as an organization entity type.
The provider Is Doing Business As Sar Medical Institute Of Cape Coral.

The provider's business location address is:

2706 SE SANTA BARBARA PL
CAPE CORAL, FL
ZIP 33904-701
Phone: (239) 471-0721
Fax: (239) 471-0732

The provider's authorized official is Stephen Mark Ross .
The authorized official title is Medical Director and has the following contact phone number (239) 471-0721.

The enumeration date for this NPI number is 7/29/2011 and was last updated on 11/25/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainPMC 1621FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FK751AOTHERFLORIDAMEDICARE PTAN
2BR4247791OTHERFLORIDADEA
3PMC1621OTHERFLORIDAPAIN CLINIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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