Organization
SAR PAIN INSTITUTE LLC
Active
Other names
SAR MEDICAL INSTITUTE OF CAPE CORAL
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARK ROSS M.D.,PHD. (MEDICAL DIRECTOR)
(239) 471-0721
Entity
Organization
Contact information
Practice address
2706 SE SANTA BARBARA PL, CAPE CORAL, FL 33904-2701
(239) 471-0721
(239) 471-0732
Mailing address
2706 SE SANTA BARBARA PL, CAPE CORAL, FL 33904-2701
(239) 471-0721
(239) 471-0732
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
PMC 1621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK751A
MEDICARE PTAN
FL
01
—
PMC1621
PAIN CLINIC
FL
Enumeration date
07/29/2011
Last updated
03/07/2023
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