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Organization
ADVANCED PAIN MANAGEMENT CLINIC, INC
Active
Organization
ADVANCED PAIN MANAGEMENT CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT WILLENS D.O. (PRESIDENT)
(904) 635-5555
Entity
Organization
Contact information
Practice address
5757 BOOTH RD, BUILDING 100, JACKSONVILLE, FL 32207-5980
(904) 683-2596
(904) 683-2597
Mailing address
5757 BOOTH RD, BUILDING 100, JACKSONVILLE, FL 32207-5980
(904) 683-2596
(904) 683-2597
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS8432
FL
Other
Enumeration date
05/04/2009
Last updated
10/01/2012
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