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Organization

GULF COAST PAIN MANAGEMENT PHYSICIANS

Active
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Organization

GULF COAST PAIN MANAGEMENT PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAN DUVOISIN M.D. (PHYSICIAN)
(727) 789-0891
Entity
Organization

Contact information

Practice address
3890 TAMPA RD, SUITE 308, PALM HARBOR, FL 34684-3676
(727) 789-0891
(727) 789-1570
Mailing address
3890 TAMPA RD, SUITE 308, PALM HARBOR, FL 34684-3676
(727) 789-0891
(727) 789-1570

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99061
BCBS
FL
Enumeration date
12/17/2007
Last updated
12/17/2007
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