# MARION PAIN MANAGEMENT CENTER INC

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

## Provider details

- **NPI number:** 1538258561
- **Authorized official:** DR. MANGALA SHETTY MD (OWNER)
- **Authorized official phone:** (352) 622-1840

## Contact information

- **Practice address:** 1737A SE 28TH LOOP, OCALA, FL 34471-1079
- **Practice address phone:** (352) 622-1840
- **Practice address fax:** (352) 622-0137
- **Mailing address:** PO BOX 917572, ORLANDO, FL 32891-7572
- **Mailing address phone:** (888) 877-3850
- **Mailing address fax:** (631) 329-6951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 02/02/2010