Organization
SUNSHINE INTERVENTIONAL PAIN AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MAUTNER DO (MANAGING MEMBER)
(689) 208-0092
Entity
Organization
Contact information
Practice address
260 LOOKOUT PL STE 202, MAITLAND, FL 32751-4485
(689) 208-0092
Mailing address
2017 E 9TH ST UNIT 1706F, CLEVELAND, OH 44115-1335
(813) 928-8037
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
07/20/2022
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