Organization
PAIN CARE PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVERY GOODWIN (TREASURER)
(407) 654-2728
Entity
Organization
Contact information
Practice address
505 S. DILLARD, WINTER, FL 34787-4651
(407) 654-7276
Mailing address
505 S. DILLARD, WINTER, FL 34787-4651
(407) 654-7276
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
ME12701
FL
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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