Organization
INTERVENTIONAL SPECIALIST CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER SMITH-FERNANDEZ M.D. (MANAGER)
(239) 513-0055
Entity
Organization
Contact information
Practice address
2350 VANDERBILT BEACH RD, SUITE #302B, NAPLES, FL 34109-2760
(239) 513-0055
(239) 596-6544
Mailing address
2350 VANDERBILT BEACH RD, SUITE #302B, NAPLES, FL 34109-2760
(239) 513-0055
(239) 596-6544
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME98168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952478323
NPI
FL
Enumeration date
02/28/2017
Last updated
06/27/2017
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