Organization
A NEW LIFE PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO VALLE (MD)
(239) 454-7246
Entity
Organization
Contact information
Practice address
40 BARKLEY CIR, SUITE 3, FORT MYERS, FL 33907-4518
(239) 454-7246
(239) 454-7244
Mailing address
40 BARKLEY CIR, SUITE 3, FORT MYERS, FL 33907-4518
(239) 454-7246
(239) 454-7244
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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