Organization
SPINE AND PAIN MEDICINE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL H BENDER M.D. (PRESIDENT)
(727) 861-2277
Entity
Organization
Contact information
Practice address
8811 STATE ROAD 52, SUITE 21, HUDSON, FL 34667-6784
(727) 861-2277
(727) 861-2062
Mailing address
8811 STATE ROAD 52, SUITE 21, HUDSON, FL 34667-6784
(727) 861-2277
(727) 861-2062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0060231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6464300001
MEDICARE NSC
FL
Enumeration date
01/03/2008
Last updated
05/16/2017
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