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Organization

ADVANCED INTERVENTIONAL PAIN CENTER FL

Active
Parent organization
ADVANCED INTERVENTIONAL PAIN CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED INTERVENTIONAL PAIN CENTER LLC
Authorized official
DR. PATTANAM SRINIVASAN MD (MEDICAL DIRECTOR)
(765) 891-0721
Entity
Organization

Contact information

Practice address
2189 CLEVELAND ST STE 211, CLEARWATER, FL 33765-3213
(727) 474-6507
Mailing address
2189 CLEVELAND ST STE 211, CLEARWATER, FL 33765-3213
(727) 474-6507

Taxonomy

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

Other

Enumeration date
07/05/2020
Last updated
09/11/2023
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