Organization
PAIN CARE MANAGEMENT OF CLEARWATER, LLC
Active
Other names
Pain Care of Clearwater
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C R LONG (MANAGING MEMBER)
(321) 251-4462
Entity
Organization
Contact information
Practice address
51 S MAIN AVE, SUITE 318, CLEARWATER, FL 33765-3952
(727) 572-6261
(727) 443-2501
Mailing address
5036 DR PHILLIPS BLVD, SUITE 337, ORLANDO, FL 32819-3310
(321) 251-4462
(888) 469-1872
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
PMC1340
FL
Other
Enumeration date
10/07/2010
Last updated
02/13/2014
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