Organization
INTERVENTIONAL PAIN PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LI MA MD (MEMBER)
(352) 212-5567
Entity
Organization
Contact information
Practice address
5651 GULF DR, NEW PORT RICHEY, FL 34652-4019
(727) 597-8430
Mailing address
PO BOX 158, LUTZ, FL 33548-0158
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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