Organization
PAIN MANAGEMENT AND SPINE CARE CENTER PA
Active
Organization
PAIN MANAGEMENT AND SPINE CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYAD ALSABBAGH (OWNER / PROVIDER)
(352) 597-7184
Entity
Organization
Contact information
Practice address
12148 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 597-7184
(352) 597-7186
Mailing address
12148 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 597-7184
(352) 597-7186
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
ME88499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277666900
—
FL
01
—
DF0703
RAILROAD MEDICARE
—
Enumeration date
05/25/2006
Last updated
05/10/2018
Update your record
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