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Organization
SPORTS & INTERVENTIONAL PAIN MEDICINE, PA
Active
Organization
SPORTS & INTERVENTIONAL PAIN MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EATON YEN MD (OWNER)
(727) 372-0402
Entity
Organization
Contact information
Practice address
8140 PICTON WAY, SUITE 101, NEW PORT RICHEY, FL 34655
(727) 372-0402
Mailing address
8140 PICTON WAY, SUITE 101, NEW PORT RICHEY, FL 34655
(727) 372-0402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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