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Organization
ADVANCED PAIN MANAGEMENT SPECIALISTS
Active
Organization
ADVANCED PAIN MANAGEMENT SPECIALISTS
Active
Other names
Advanced Pain Management and Spine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN S. DAITCH MD (PARTNER)
(239) 437-8002
Entity
Organization
Contact information
Practice address
1425 VISCAYA PKWY, SUITE 202, CAPE CORAL, FL 33990-3294
(239) 574-1464
(239) 574-1286
Mailing address
PO BOX 07400, FORT MYERS, FL 33919-0400
(239) 437-8000
(239) 437-9991
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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