Organization
PAIN RELIEF AND PHYSICAL REHAB INC
Active
Other names
Pain Relief and Physical Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH S SUSKO M.D. (PRESIDENT)
(239) 226-0077
Entity
Organization
Contact information
Practice address
4977 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
(239) 226-0077
(239) 489-0077
Mailing address
9705 COMMERCE CENTER CT STE 103, FORT MYERS, FL 33908-3767
(239) 437-9313
(239) 245-8060
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17033
BCBS
FL
01
—
17033X
MEDICARE
FL
05
—
2658666-00
—
FL
Enumeration date
09/17/2008
Last updated
09/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us