Organization
PAIN MEDICINE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMON PRIEWE MD (MD)
(352) 867-8898
Entity
Organization
Contact information
Practice address
6815 14TH ST W, SUITE 204, BRADENTON, FL 34207-5810
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 277999, ATLANTA, GA 30384-7999
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
FL
363A00000X
Physician Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80785
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/17/2006
Last updated
09/15/2011
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