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Organization

SOUTHEAST FLORIDA PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID M CARPENTER (PRESIDENT)
(954) 661-7580
Entity
Organization

Contact information

Practice address
41 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1621
(954) 771-3553
(954) 771-0664
Mailing address
41 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1621
(954) 771-3553
(954) 771-0664

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
HCC7909
FL

Other

Enumeration date
10/07/2010
Last updated
10/07/2010
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