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Organization

GULF COAST PAIN MANAGEMENT PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNNE C COLUMBUS D.O. (PRESIDENT/OWNER)
(727) 789-0891
Entity
Organization

Contact information

Practice address
3001 EASTLAND BLVD, SUITE 7, CLEARWATER, FL 33761-4104
(727) 789-0891
(727) 789-1570
Mailing address
3001 EASTLAND BLVD, SUITE 7, CLEARWATER, FL 33761-4104
(727) 789-0891
(727) 789-1570

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS6713
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050067680
RAILROAD MEDICARE
FL
Enumeration date
09/18/2007
Last updated
02/07/2013
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