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Organization

DRUG FREE PAIN CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN GARDNER JR. M.D. (MANAGING MEMBER)
(561) 444-9805
Entity
Organization

Contact information

Practice address
224 CHIMNEY CORNER LN, 1026, JUPITER, FL 33458-4800
(561) 444-9805
Mailing address
3154 SAN MICHELE DR, PALM BEACH GARDENS, FL 33418-6702
(561) 444-9805

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
208D00000X
General Practice Physician
ME84984
FL

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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