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Organization

INTERVENTIONS IN PAIN MANAGEMENT LLC

Active
Parent organization
INTERVENTIONS IN PAIN MANAGEMENT LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTERVENTIONS IN PAIN MANAGEMENT LLC
Authorized official
KERRY P PANOZZO MD (OWNER)
(309) 428-7055
Entity
Organization

Contact information

Practice address
2816 MANATEE AVE W, BRADENTON, FL 34205-4237
(941) 741-2030
Mailing address
4110 BLACKHAWK RD STE 2, ROCK ISLAND, IL 61201-7039
(309) 428-7055

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
09/07/2021
Last updated
09/07/2021
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