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Organization
ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC
Active
Organization
ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC
Active
Other names
Advanced Pain and Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ADNAN FARUQI MD (OWNER)
(312) 952-4422
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 302A, ST AUGUSTINE, FL 32080-3117
(312) 952-4422
Mailing address
1301 PLANTATION ISLAND DR S STE 302A, ST AUGUSTINE, FL 32080-3117
(904) 461-9330
(904) 461-9330
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME140144
MEDICAL LICENSE
FL
Enumeration date
05/20/2019
Last updated
08/05/2019
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