Organization
PENINSULA PAIN MANAGEMENT, LLC
Active
Organization
PENINSULA PAIN MANAGEMENT, LLC
Active
Other names
Fox Laser, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT FOX (OWNER)
(443) 783-3543
Entity
Organization
Contact information
Practice address
13014 RIGGIN RIDGE RD, OCEAN CITY, MD 21842-9716
(443) 783-3543
Mailing address
13014 RIGGIN RIDGE RD, OCEAN CITY, MD 21842-9716
(443) 783-3543
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
208VP0000X
Pain Medicine Physician
D0035246
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D0035246
MD
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/08/2009
Last updated
12/08/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up