Organization
THE PAIN INSTITUTE
Active
Organization
THE PAIN INSTITUTE
Active
Other names
Space Coast Pain Institute, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GAYLES M.D. (PARTNER)
(321) 784-8211
Entity
Organization
Contact information
Practice address
595 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4851
(321) 784-8211
(321) 394-9425
Mailing address
PO BOX 562707, ROCKLEDGE, FL 32956-2707
(321) 784-8211
(321) 394-9425
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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