Organization
ADVANCED PAIN MANAGEMENT SPECIALISTS
Active
Other names
Advanced Pain Management and Spine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN S. DAITCH MD (PARTNER)
(239) 437-8002
Entity
Organization
Contact information
Practice address
1425 VISCAYA PKWY, SUITE 202, CAPE CORAL, FL 33990-3294
(239) 574-1464
(239) 574-1286
Mailing address
PO BOX 07400, FORT MYERS, FL 33919-0400
(239) 437-8000
(239) 437-9991
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74588
BCBS/FL GROUP NUMBER
FL
01
—
7926233
AETNA GROUP NUMBER
FL
01
—
CH8338
RAILROAD MEDICARE GROUP #
FL
Enumeration date
10/12/2006
Last updated
08/22/2020
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