Organization
PHYSICAL MEDICINE AND PAIN CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HABER DP (OWNER)
(941) 488-0074
Entity
Organization
Contact information
Practice address
1790 E VENICE AVE STE 102, VENICE, FL 34292-3191
(941) 488-0074
(941) 488-2074
Mailing address
614 RAVENNA ST, VENICE, FL 34285-3028
(941) 488-0074
(941) 488-2074
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
10/01/2019
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