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Organization
ALFA SPINE AND PAIN
Active
Organization
ALFA SPINE AND PAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP PILLARISETTY MD (OWNER/PHYSICIAN)
(321) 276-6293
Entity
Organization
Contact information
Practice address
3724 WINTER GARDEN VINELAND RD BLDG 2, WINTER GARDEN, FL 34787-5483
(321) 276-6293
Mailing address
3724 WINTER GARDEN VINELAND RD BLDG 2, WINTER GARDEN, FL 34787-5483
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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