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Organization
SOUTHEAST FLORIDA PAIN MANAGEMENT
Active
Organization
SOUTHEAST FLORIDA PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M CARPENTER (PRESIDENT)
(954) 661-7580
Entity
Organization
Contact information
Practice address
41 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1621
(954) 771-3553
(954) 771-0664
Mailing address
41 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1621
(954) 771-3553
(954) 771-0664
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
HCC7909
FL
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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