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Organization

HENDRY COUNTY HOSPITAL AUTHORITY

Active
Parent organization
HENDRY COUNTY HOSPITAL AUTHORITY
Other names
HENDRY REGIONAL INTERVENTIONAL PAIN THERAPY
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENDRY COUNTY HOSPITAL AUTHORITY
Authorized official
MR. LYNN BEASLEY (CEO)
(863) 902-3076
Entity
Organization

Contact information

Practice address
530 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3006
(863) 983-2793
Mailing address
530 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3006
(863) 983-2793

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
3995
FL

Other

Enumeration date
03/27/2012
Last updated
10/23/2012
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