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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