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Organization

PAIN MANAGEMENT INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN JOSHUA HANFLINK D.O. (PRESIDENT)
(352) 357-0668
Entity
Organization

Contact information

Practice address
601 JENNINGS AVE, EUSTIS, FL 32726-6148
(352) 357-0668
(352) 357-3643
Mailing address
601 JENNINGS AVE, EUSTIS, FL 32726-6148
(352) 357-0668
(352) 357-3643

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
OS9725
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004178500
FL
01
1036842
NON-PHARMACY DISPENSING SITE
FL
01
10D1088106
CLIA-CERTIFICATE OF WAIVER
FL
01
BH086
PTAN-GROUP
FL
01
DP7786
RAILROAD MEDICARE PTAN
FL
01
JR44088000
FL DOH-RADIATION MACHINE
FL
01
PMC1328
FL DOH-PAIN MANAGEMENT CLINIC
FL
Enumeration date
07/16/2008
Last updated
04/21/2020
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