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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