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Organization

MARTIN COUNTY PAIN CLINIC PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA LINN (MANAGER)
(561) 719-2812
Entity
Organization

Contact information

Practice address
725 SE OSCEOLA ST, SUITE 2, STUART, FL 34994-2318
(772) 286-0078
(866) 665-2702
Mailing address
725 SE OSCEOLA ST STE 2, STUART, FL 34994-2318
(772) 286-0078
(772) 286-2288

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
332900000X
Non-Pharmacy Dispensing Site
Primary
ME15899
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274837100
FL
01
39289
BCBS FL GROUP #
FL
Enumeration date
05/16/2006
Last updated
03/11/2026
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