Organization
FLORENCE PAIN SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE MARIE WAKULA (OFFICE MANAGER)
(772) 546-9591
Entity
Organization
Contact information
Practice address
491 W CHEVES ST STE C, FLORENCE, SC 29501-4407
(772) 546-9591
Mailing address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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