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Pain Clinic Of Northwest Fl, Inc
Specialist in Marianna, Florida
NPI 1225244395

Pain Clinic Of Northwest Fl, Inc is a Specialist based in Panama City, FL. Pain Clinic Of Northwest Fl, Inc practices in Marianna, FL. The NPI Number for Pain Clinic Of Northwest Fl, Inc is 1225244395 and holds a License No. (Florida).

The current practice location address for Pain Clinic Of Northwest Fl, Inc is 4284 Kelson Ave, Marianna, FL and can be reached out via phone at 850-784-2477 and via fax at 850-784-6848.

Location: 4284 Kelson Ave, Marianna, FL, 32405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225244395
Provider Name
Pain Clinic Of Northwest Fl, Inc
Credential
Provider Entity Type
Organization
Address
4284 Kelson Ave, Marianna, FL, 32405
Phone Number
850-784-2477
Fax Number
850-784-6848
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3857260001 01 FL DMERC PTAN
2680076 01 05 FL
CM7126 01 FL RRB PTAN
institution
Provider Business Practice Location Address Details
Address
4284 Kelson Ave
City
Marianna
State
Florida
Zip
32446
Phone Number
850-784-2477
Fax Number
850-784-6848
person
Provider Business Mailing Address Details
Address
4284 Kelson Ave
City
Marianna
State
Florida
Zip
32446
Phone Number
850-784-2477
Fax Number
850-784-6848
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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