Organization
PAIN DIAGNOSTIC AND TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JOHN MARTINEZ M.D. (MEDICAL DIRECTOR)
(239) 344-9926
Entity
Organization
Contact information
Practice address
1611 SANTA BARBARA BLVD STE 120, CAPE CORAL, FL 33991-3479
(239) 344-9926
(239) 236-1423
Mailing address
2710 DEL PRADO BLVD S UNIT 2255, CAPE CORAL, FL 33904-5788
(239) 344-9926
(239) 236-1423
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME118705
FL
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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