Organization
PIONEER PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO POTO (OWNER)
(772) 446-4883
Entity
Organization
Contact information
Practice address
8491 S FEDERAL HWY, SUITE 15, PORT ST LUCIE, FL 34952-3360
(772) 324-8214
(772) 324-8136
Mailing address
266 NW PEACOCK BLVD STE 205, PORT ST LUCIE, FL 34986-2271
(772) 446-4883
(772) 446-4875
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
11/03/2017
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