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Organization

INTERVENTIONAL PAIN SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JENEANE MARIE WAKULA (OFFICE MANAGER)
(772) 546-9591
Entity
Organization

Contact information

Practice address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
(772) 546-9535
Mailing address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
(772) 546-9535

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0062002
FL

Other

Enumeration date
09/03/2009
Last updated
09/03/2009
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