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Southeastern Interventional Pain Physicians, P.a.
Specialist in Mary Esther, Florida
NPI 1700843513

Southeastern Interventional Pain Physicians, P.a. is a Specialist based in Gulf Breeze, FL. Southeastern Interventional Pain Physicians, P.a. practices in Mary Esther, FL. The NPI Number for Southeastern Interventional Pain Physicians, P.a. is 1700843513 and holds a License No. (Florida).

The current practice location address for Southeastern Interventional Pain Physicians, P.a. is 151 Mary Esther Blvd, Mary Esther, FL and can be reached out via phone at 850-243-7788 and via fax at 850-243-7738.

Location: 151 Mary Esther Blvd, Mary Esther, FL, 32562-0699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700843513
Provider Name
Southeastern Interventional Pain Physicians, P.a.
Credential
Provider Entity Type
Organization
Address
151 Mary Esther Blvd, Mary Esther, FL, 32562-0699
Phone Number
850-243-7788
Fax Number
850-243-7738
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45117 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
151 Mary Esther Blvd
City
Mary Esther
State
Florida
Zip
32569-1972
Phone Number
850-243-7788
Fax Number
850-243-7738
person
Provider Business Mailing Address Details
Address
151 Mary Esther Blvd
City
Mary Esther
State
Florida
Zip
32569-1972
Phone Number
850-243-7788
Fax Number
850-243-7738
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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