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Organization
PAIN AND SPINE CENTERS OF FLORIDA LLC
Active
Organization
PAIN AND SPINE CENTERS OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDHAR PINNAMANENI MD (MEDICAL DOCTOR)
(352) 343-6900
Entity
Organization
Contact information
Practice address
800 COUNTY ROAD 466, LADY LAKE, FL 32159
(352) 343-6900
Mailing address
8136 CENTRALIA CT, SUITE 103, LEESBURG, FL 34788-3757
(352) 343-6900
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
07/23/2015
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