Organization
PRIME INTERVENTIONAL CONSULTANTS CORP
Active
Organization subpart
No
Provider details
NPI number
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) 469-3733
Mailing address
2189 CLEVELAND ST STE 211, CLEARWATER, FL 33765-3213
(727) 469-3733
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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