Organization
INTERVENTIONAL PAIN AND REGENERATIVE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY DHILLON (MANAGER)
(212) 463-0911
Entity
Organization
Contact information
Practice address
12989 SOUTHERN BLVD STE 205, LOXAHATCHEE, FL 33470-9291
(501) 282-0953
Mailing address
12989 SOUTHERN BLVD STE 205, LOXAHATCHEE, FL 33470-9291
(212) 463-0911
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
07/11/2025
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