Organization
PAIN CARE MANAGEMENT OF MELBOURNE, LLC
Active
Other names
Atlantis Pain Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C R LONG (MANAGING MEMBER)
(321) 251-4462
Entity
Organization
Contact information
Practice address
3150 N WICKHAM RD, SUITE 9, MELBOURNE, FL 32935-2322
(321) 773-4134
(321) 574-5611
Mailing address
5036 DR PHILLIPS BLVD, SUITE 337, ORLANDO, FL 32819-3310
(321) 251-4462
(888) 469-1872
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
PMC1568
FL
Other
Enumeration date
10/07/2010
Last updated
02/13/2014
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