Organization
APC, INC - BRANDON
Active
Parent organization
ADVANCED PAIN CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED PAIN CARE, INC
Authorized official
DR. STANLEY ROBERT DENNISON JR. M.D., M.B.A. (CEO/PRESIDENT)
(813) 876-7600
Entity
Organization
Contact information
Practice address
1125 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 876-7600
(813) 876-7675
Mailing address
1921 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509
(813) 876-7600
(813) 876-7675
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME69243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K3587
P-TAN
FL
Enumeration date
05/22/2012
Last updated
05/18/2023
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