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Organization
GULF COAST PAIN CONSULTANTS PLLC
Active
Organization
GULF COAST PAIN CONSULTANTS PLLC
Active
Other names
Clearway Pain Solutions Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY A MONTGOMERY MD (MEDICAL DIRECTOR)
(850) 791-6895
Entity
Organization
Contact information
Practice address
4901 GRANDE DR STE A, PENSACOLA, FL 32504-5936
(850) 484-4080
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/19/2016
Last updated
01/31/2023
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