Organization
DOCTORS PAIN MANAGEMENT GROUP OF BRANDON INC
Active
Organization
DOCTORS PAIN MANAGEMENT GROUP OF BRANDON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN KELLY (PRESIDENT OWNER)
(813) 931-0501
Entity
Organization
Contact information
Practice address
687 W LUMSDEN ROAD, BRANDON, FL 33511
(813) 571-9782
(813) 571-9783
Mailing address
687 W LUMSDEN ROAD, BRANDON, FL 33511
(813) 571-9782
(813) 571-9783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM14469
FL
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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