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Organization
PREMIER PAIN SPECIALISTS LLC
Active
Organization
PREMIER PAIN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULES ALVA PREUDHOMME M.D (PRESIDENT)
(239) 945-1105
Entity
Organization
Contact information
Practice address
1228 SE 8TH TER, CAPE CORAL, FL 33990-3210
(239) 945-1105
(239) 945-4495
Mailing address
1228 SE 8TH TER, CAPE CORAL, FL 33990-3210
(239) 945-1105
(239) 945-4495
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME72077
FL
Other
Enumeration date
11/01/2006
Last updated
12/02/2021
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