Organization
ADVANCED PAIN MANAGEMENT AND REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS CONSUEGRA (MANAGER)
(813) 443-5132
Entity
Organization
Contact information
Practice address
4600 N HABANA AVE, SUITE 19A, TAMPA, FL 33614-7112
(813) 443-5132
Mailing address
4600 N HABANA AVE, SUITE 19A, TAMPA, FL 33614-7112
(813) 443-5132
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC7529
FL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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