Pain Relief And Physical Rehab
LBN: Pain Relief And Physical Rehab Inc
Pain Relief And Physical Rehab is an health care organization with primary practice located at 4977 Royal Gulf Cir , Fort Myers FL 33966-7006. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Pain Relief And Physical Rehab Inc can be contacted via phone (239) 226-0077, or through Susko, Keith S via phone (239) 226-0077.
Contact Information
Primary practice address
4977 Royal Gulf Cir
Fort Myers FL 33966-7006
Phone: (239) 226-0077
Fax: (239) 489-0077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X |
Profile Details
| NPI number | 1134378938 |
|---|---|
| LBN Legal business name | Pain Relief And Physical Rehab Inc |
| DBA Doing business as | Pain Relief And Physical Rehab |
| Authorized official | Susko, Keith S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2008 |
| Last updated | Sep 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134378938 | NPPES |
| Florida | Other | 17033 | BCBS |
| Florida | MEDICAID | 2658666-00 | BCBS |
| Florida | Other | 17033X | BCBS |
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