Organization
COMPREHENSIVE PAIN MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN BERROCAL TIMMONS M.D. (MEDICAL DIRECTOR)
(850) 968-9804
Entity
Organization
Contact information
Practice address
510 CORDAY ST, PENSACOLA, FL 32503-2021
(850) 969-9804
(850) 475-1472
Mailing address
510 CORDAY ST, PENSACOLA, FL 32503-2021
(850) 969-9804
(850) 475-1472
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372440900
—
FL
01
—
39810
BCBS GROUP NUMBER
FL
05
—
529600860
—
AL
Enumeration date
04/20/2006
Last updated
06/17/2009
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