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Organization
INTERVENTIONAL PAIN PHYSICIANS, LLC
Active
Organization
INTERVENTIONAL PAIN PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI MA M.D. (MEMBER)
(352) 212-5567
Entity
Organization
Contact information
Practice address
5651 GULF DR, NEW PORT RICHEY, FL 34652-4019
(352) 212-5567
Mailing address
P O BOX 158, LUTZ, FL 33548
(352) 212-5567
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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