# PAIN MEDICINE INSTITUTE PLLC

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

## Provider details

- **NPI number:** 1629020508
- **Authorized official:** DR. RAYMON PRIEWE MD (MD)
- **Authorized official phone:** (352) 867-8898

## Contact information

- **Practice address:** 6815 14TH ST W, SUITE 204, BRADENTON, FL 34207-5810
- **Practice address phone:** (352) 867-8898
- **Practice address fax:** (352) 732-6282
- **Mailing address:** PO BOX 277999, ATLANTA, GA 30384-7999
- **Mailing address phone:** (352) 867-8898
- **Mailing address fax:** (352) 732-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | FL | Yes |
| 363A00000X | Physician Assistant | — | FL | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 09/15/2011
