Organization
INTERVENTIONAL PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE E BISTLINE MD (PRESIDENT)
(561) 681-9808
Entity
Organization
Contact information
Practice address
2031 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL 33409-6525
(561) 681-9808
(561) 246-4018
Mailing address
2031 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL 33409-6525
(561) 681-9808
(561) 246-4018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME64772
FL
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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