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ADVANDCED PAIN MGMT SPECIALIST NPI 1689857435


NPI Information

NPI: 1689857435
Provider Name: ADVANDCED PAIN MGMT SPECIALIST
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1425 VISCAYA PKWY
#202
CAPE CORAL, FL
ZIP 33990
Phone: (239) 437-8000
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ADVANDCED PAIN MGMT SPECIALIST is a non pharmacy dispensing site in Cape Coral, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ADVANDCED PAIN MGMT SPECIALIST NPI is 1689857435. The provider is registered as an organization entity type.

The provider's business location address is:

1425 VISCAYA PKWY
#202
CAPE CORAL, FL
ZIP 33990-294
Phone: (239) 437-8000

The provider's authorized official is Marshall D Bedder .
The authorized official title is Physician and has the following contact phone number (239) 437-8000.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/14/2007.


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
1332900000XNon-Pharmacy Dispensing SiteME92411FLORIDAYes

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: 4/28/2024

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