Organization
ANESCO INTERVENTIONAL PAIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KOLBERT M.D. (VICE PRESIDENT)
(954) 703-2933
Entity
Organization
Contact information
Practice address
2825 N STATE ROAD 7 STE 204, MARGATE, FL 33063-5737
(954) 580-4080
Mailing address
PO BOX 160805, ALTAMONTE SPRINGS, FL 32716-0805
(954) 580-4084
(954) 580-4081
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/11/2016
Last updated
06/30/2021
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