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Organization

PEARL MEDICAL PAIN CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL VILLE DC (PRESIDENT)
(321) 773-2663
Entity
Organization

Contact information

Practice address
155 JACKSON AVE, SATELLITE BEACH, FL 32937-2993
(321) 773-2663
Mailing address
155 JACKSON AVE, SATELLITE BEACH, FL 32937-2993
(321) 773-2663

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH3794
FL
207X00000X
Orthopaedic Surgery Physician
ME36928
FL

Other

Enumeration date
03/07/2010
Last updated
03/07/2010
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