# ADVANCED PAIN CLINIC,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386811834
- **Authorized official:** DR. VRAJLAL L RAJYAGURU MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (407) 935-9404

## Contact information

- **Practice address:** 505 W VINE ST, 301, KISSIMMEE, FL 34741-4123
- **Practice address phone:** (407) 935-9404
- **Mailing address:** 505 W VINE ST, 301, KISSIMMEE, FL 34741-4123
- **Mailing address phone:** (407) 935-9404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME0066759 | FL | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008