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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us