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Organization
SW FLORIDA PAIN CENTER INC
Active
Organization
SW FLORIDA PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D BALL D.O. (DIRECTOR)
(941) 627-9095
Entity
Organization
Contact information
Practice address
19621 COCHRAN BLVD, UNIT #1, PORT CHARLOTTE, FL 33948
(941) 627-9095
(941) 629-6993
Mailing address
19621 COCHRAN BLVD STE 3, PORT CHARLOTTE, FL 33948-2070
(941) 627-9095
(941) 629-6993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21632
BCBS
FL
Enumeration date
11/08/2006
Last updated
07/21/2022
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