Organization
PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC
Active
Organization
PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC
Active
Other names
Port St Lucie Pain Management Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNEN SEVERSEN (PRESIDENT)
(561) 292-3747
Entity
Organization
Contact information
Practice address
8235 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-2848
(772) 335-7246
(772) 335-7202
Mailing address
8235 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-2848
(772) 335-7246
(772) 335-7202
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
02/12/2026
Update your record
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