Organization
BODY PAIN MEDICAL CENTER, INC.
Active
Organization
BODY PAIN MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BODINE CH (OWNER/DIRECTOR)
(386) 334-6355
Entity
Organization
Contact information
Practice address
11680 BONITA BEACH RD SE, SUITE 100, BONITA SPRINGS, FL 34135-5993
(386) 334-6355
Mailing address
11680 BONITA BEACH RD SE, SUITE 100, BONITA SPRINGS, FL 34135-5993
(386) 334-6355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH9685
FL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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