Organization
MOBILE PAIN DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN KUPPINGER MD (MANAGER)
(772) 584-9417
Entity
Organization
Contact information
Practice address
7805 NW BEACON SQUARE BLVD STE 103, BOCA RATON, FL 33487-1396
(561) 699-6373
Mailing address
7805 NW BEACON SQUARE BLVD STE 103, BOCA RATON, FL 33487-1396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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