Organization
SEBRING PAIN MANAGEMENT & REHABILITATION CENTER LLC
Active
Other names
North Port Interventional Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WITFORD L REID MD (PRESIDENT)
(863) 471-1413
Entity
Organization
Contact information
Practice address
9 RYANT BLVD, SEBRING, FL 33872-4075
(863) 471-1413
(863) 471-1416
Mailing address
9 RYANT BLVD, SEBRING, FL 33872-4075
(863) 471-1413
(863) 471-1416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC4693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273497400
—
FL
01
—
94940
BCBS
FL
Enumeration date
12/05/2005
Last updated
12/11/2013
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