Organization
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Active
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
Update your record
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