Organization
NATURECOAST PAIN ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MARK FALLOWS D.O. (PRESIDENT)
(352) 527-4444
Entity
Organization
Contact information
Practice address
70 N LECANTO HWY, LECANTO, FL 34461-9190
(352) 527-4444
(352) 746-7829
Mailing address
70 N LECANTO HWY, LECANTO, FL 34461-9190
(352) 527-4444
(352) 746-7829
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003QU
FLORIDA BLUE
FL
01
—
DT1184
RAILROAD MEDICARE
—
01
—
GM283A
MEDICARE PTAN
FL
Enumeration date
09/05/2012
Last updated
08/14/2024
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