PAIN CARE MANAGEMENT OF CLEARWATER LLC NPI 1790094829

NPI Information

  • NPI: 1790094829
  • Provider Name: PAIN CARE MANAGEMENT OF CLEARWATER, LLC
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Doing Business As: PAIN CARE OF CLEARWATER
  • CLIA Number: 10D2015201
  • Address: 51 S MAIN AVE
    SUITE 318
    CLEARWATER, FL
    ZIP 33765
  • Phone: (727) 572-6261

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NPI Details

PAIN CARE MANAGEMENT OF CLEARWATER, LLC is a pain clinic center in Clearwater, FL. PAIN CARE MANAGEMENT OF CLEARWATER, LLC NPI is 1790094829. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain Care Of Clearwater.

The provider's business location address is:

51 S MAIN AVE
SUITE 318
CLEARWATER, FL
ZIP 33765-952
Phone: (727) 572-6261
Fax: (727) 443-2501

The provider's authorized official is C R Long .
The authorized official title is Managing Member and has the following contact phone number (321) 251-4462.

The CLIA number assigned to this NPI record is 10D2015201 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 2/13/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainPMC1340FLORIDAYes

What is NPI?

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This page was last updated on: 3/30/2025

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