Organization
INTERVENTIONAL PAIN INSTITUTE OF WEST FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HASHIM MD (MD/OWNER)
(727) 861-1000
Entity
Organization
Contact information
Practice address
7412 COMMUNITY CT, HUDSON, FL 34667-7101
(727) 861-1000
(727) 681-1010
Mailing address
7412 COMMUNITY CT, HUDSON, FL 34667-7101
(727) 861-1000
(727) 681-1010
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME74355
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
ME74355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051608200
—
FL
01
—
101164
AVMED VENDOR ID
FL
Enumeration date
07/05/2006
Last updated
08/28/2013
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