Advanced Pain Clinic Pa

LBN: Advanced Pain Clinic Pa
Advanced Pain Clinic Pa is an health care organization with primary practice located at 82 Maxcy Plaza Cir , Haines City FL 33844-2488. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Advanced Pain Clinic Pa can be contacted via phone (407) 935-9404, or through Rajyaguru, Vrajlal L via phone (407) 935-9404.

Contact Information

Primary practice address
82 Maxcy Plaza Cir Haines City FL 33844-2488
Phone: (407) 935-9404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rajyaguru, Vrajlal L Doctor of Medicine (MD)
Phone: (407) 935-9404

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME0066759 Florida

Profile Details

NPI number 1972770428
LBN Legal business name Advanced Pain Clinic Pa
DBA Doing business as
Authorized official Rajyaguru, Vrajlal L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972770428 NPPES
Florida MEDICAID 377046000

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