Southern Interventional Pain Center Llc

LBN: Southern Interventional Pain Center Llc
Southern Interventional Pain Center Llc is an health care organization with primary practice located at 619 Sw Baya Dr Ste 102 , Lake City FL 32025-4204. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Southern Interventional Pain Center Llc can be contacted via phone (386) 361-3400, or through Shokat, Maximilian Shahryar via phone (229) 226-2234.

Contact Information

Primary practice address
619 Sw Baya Dr Ste 102 Lake City FL 32025-4204
Phone: (386) 361-3400
Fax: (855) 313-1262
Website:
Map and Directions
Authorized official contact:
Name: Shokat, Maximilian Shahryar Doctor of Osteopathy (DO)
Phone: (229) 226-2234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1063971596
LBN Legal business name Southern Interventional Pain Center Llc
DBA Doing business as
Authorized official Shokat, Maximilian Shahryar Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 14th, 2019
Last updated Jan 31st, 2020 - about 4 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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