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Organization
PHYSICAL MEDICINE AND PAIN CONSULTANTS LLC
Active
Organization
PHYSICAL MEDICINE AND PAIN CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HABER DP (OWNER)
(941) 488-0074
Entity
Organization
Contact information
Practice address
1790 E VENICE AVE STE 102, VENICE, FL 34292-3191
(941) 488-0074
(941) 488-2074
Mailing address
614 RAVENNA ST, VENICE, FL 34285-3028
(941) 488-0074
(941) 488-2074
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
10/01/2019
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