Organization
SUNSHINE INTERVENTIONAL PAIN AND WELLNESS CENTER LLC
Active
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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