Provider Demographics
NPI:1326623554
Name:COMPREHENSIVE PAIN SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE PAIN SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELHOUSHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-800-2873
Mailing Address - Street 1:6600 UNIVERSITY PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-9040
Mailing Address - Country:US
Mailing Address - Phone:941-800-2873
Mailing Address - Fax:
Practice Address - Street 1:6600 UNIVERSITY PKWY STE 104
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-9040
Practice Address - Country:US
Practice Address - Phone:941-800-2873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Single Specialty