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 1931 Welby Way Ste 4 , Tallahassee FL 32308-4473. 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 (850) 404-9400, or through Shokat, Maximilian Shahryar via phone (229) 226-2234.
Contact Information
Primary practice address
1931 Welby Way Ste 4
Tallahassee FL 32308-4473
Phone: (850) 404-9400
Fax: (855) 313-1262
Website:
Authorized official contact:
Name: Shokat, Maximilian Shahryar Doctor of Osteopathy (DO)
Phone: (229) 226-2234
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1407315948 |
|---|---|
| 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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