Organization
NATIONAL INJURY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MACHIN (BILLING DEPARTMENT)
(813) 295-6655
Entity
Organization
Contact information
Practice address
1307 W BUSCH, TAMPA, FL 33612
(813) 295-6655
Mailing address
1307 W BUSH BLVD., TAMPA, FL 33612
(813) 295-6655
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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