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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