Organization
PRO ACTIVE PAIN CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID MARTINEZ MD (PRESIDENT)
(239) 676-5665
Entity
Organization
Contact information
Practice address
27160 BAY LANDING DR STE 200, BONITA SPRINGS, FL 34135-4301
(239) 676-5665
(386) 676-5634
Mailing address
27160 BAY LANDING DR STE 200, BONITA SPRINGS, FL 34135-4301
(239) 676-5665
(239) 221-3998
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
08/29/2024
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