Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA R. SANAPATI MD (PRESIDENT)
(812) 573-1207
Entity
Organization
Contact information
Practice address
7950 SW 30TH ST STE 201, DAVIE, FL 33328-1979
(954) 669-1600
(954) 669-1630
Mailing address
1101 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714-8018
(812) 573-1812
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6021685
BUISNESS LICENSE
FL
Enumeration date
04/13/2022
Last updated
04/13/2022
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