Organization
PAIN AND SPINE CENTERS OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDHAR PINNAMANENI MD (MEDICAL DOCTOR)
(352) 343-7246
Entity
Organization
Contact information
Practice address
2146 VINDALE RD, TAVARES, FL 32778-5602
(352) 343-7246
(352) 259-8959
Mailing address
2146 VINDALE RD, TAVARES, FL 32778-5602
(352) 343-7246
(352) 259-8959
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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