Organization
SPORTS & INTERVENTIONAL PAIN MEDICINE
Active
Other names
SIPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EATON I YEN D.O. (EXECUTIVE)
(727) 359-2552
Entity
Organization
Contact information
Practice address
8140 PICTON WAY, SUITE 101, TRINITY, FL 34655-1792
(727) 359-2552
(727) 372-0402
Mailing address
PO BOX 340287, TAMPA, FL 33694-0287
(727) 359-2552
(727) 372-0402
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS9263
FL
Other
Enumeration date
02/04/2008
Last updated
05/10/2011
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