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Organization
PAIN DIAGNOSTIC AND TREATMENT CENTER, LLC
Active
Organization
PAIN DIAGNOSTIC AND TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JOHN MARTINEZ M.D. (MEDICAL DIRECTOR)
(239) 344-9926
Entity
Organization
Contact information
Practice address
1611 SANTA BARBARA BLVD STE 120, CAPE CORAL, FL 33991-3479
(239) 344-9926
(239) 236-1423
Mailing address
2710 DEL PRADO BLVD S UNIT 2255, CAPE CORAL, FL 33904-5788
(239) 344-9926
(239) 236-1423
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME118705
FL
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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