# ADVANCED PAIN MEDICINE OF NORTH FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pain Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962816231
- **Authorized official:** DR. BRENT T STEWART M.D., M.B.A. (PRESIDENT / OWNER)
- **Authorized official phone:** (352) 508-8668

## Contact information

- **Practice address:** 194 NW 137TH DRIVE, SUITE 100, NEWBERRY, FL 32669
- **Practice address phone:** (352) 508-8668
- **Practice address fax:** (352) 433-4558
- **Mailing address:** 194 NW 137TH DRIVE, SUITE 100, NEWBERRY, FL 32669
- **Mailing address phone:** (352) 508-8668
- **Mailing address fax:** (352) 433-4558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME89103 | FL | Yes |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 02/04/2015
