South Lake Pain Institute, Inc in Clermont - Specialist
South Lake Pain Institute, Inc - NPI 1033121546
South Lake Pain Institute, Inc is a Specialist in Clermont, Florida. South Lake Pain Institute, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Lake Pain Institute, Inc is 1033121546. The last update date is 2019-10-08.
South Lake Pain Institute, Inc's current location address is 2440 Hooks Street, Clermont, Florida. You can contact this provider via phone number 3523940833 and fax number 3523940367. The mailing address for South Lake Pain Institute, Inc is 2440 Hooks Street, Clermont, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Lake Pain Institute, Inc |
|---|---|
| Address | 2440 Hooks Street, Clermont, Florida |
| Phone Number | 3523940833 |
| Fax Number | 3523940367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Pacheco Samildre |
| Telephone Number | 3523940833 |
NPI Number Detail
| NPI Number | 1033121546 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2019-10-08 |
Provider Mailing Address Detail
| Address | 2440 Hooks Street |
|---|---|
| City | Clermont |
| State | Florida (FL) |
| Post Code | 34711 |
| Phone Number | 3523940833 |
| Fax Number | 3523940367 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OS8836 |
|
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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Post Comment/ Review Below
What is the South Lake Pain Institute, Inc's 1033121546?
The South Lake Pain Institute, Inc's NPI (National Provider Identifier) Number is 1033121546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of South Lake Pain Institute, Inc?
The South Lake Pain Institute, Inc is physically situated at 2440 Hooks Street, in the city of Clermont, state of FL, with the postal code 34711.
What is South Lake Pain Institute, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Lake Pain Institute, Inc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1033121546 assigned to South Lake Pain Institute, Inc?
The South Lake Pain Institute, Inc was issued its 1033121546 on 2006-08-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to South Lake Pain Institute, Inc most recently updated or revised?
The information pertaining to South Lake Pain Institute, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-08.