# SPORTS & INTERVENTIONAL PAIN MEDICINE, PA

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

## Provider details

- **NPI number:** 1396020384
- **Authorized official:** DR. EATON YEN MD (OWNER)
- **Authorized official phone:** (727) 372-0402

## Contact information

- **Practice address:** 8140 PICTON WAY, SUITE 101, NEW PORT RICHEY, FL 34655
- **Practice address phone:** (727) 372-0402
- **Mailing address:** 8140 PICTON WAY, SUITE 101, NEW PORT RICHEY, FL 34655
- **Mailing address phone:** (727) 372-0402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 10/21/2011