Organization
BRANDON PAIN MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL V MIGUEL MD (OWNER)
(813) 571-7117
Entity
Organization
Contact information
Practice address
514 EICHEFELD DRIVE, SUITE 202, BRANDON, FL 33511
(813) 571-7117
(813) 571-7017
Mailing address
514 EICHEFELD DRIVE, SUITE 202, BRANDON, FL 33511
(813) 571-7117
(813) 571-7017
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME44537
FL
Other
Enumeration date
06/18/2009
Last updated
02/23/2012
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