Provider Demographics
NPI:1437854411
Name:INPATIENT MEDICAL SERVICES PAIN INC
Entity Type:Organization
Organization Name:INPATIENT MEDICAL SERVICES PAIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BALDIR
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:LOPEZ ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-230-2273
Mailing Address - Street 1:PO BOX 4277
Mailing Address - Street 2:
Mailing Address - City:N FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33918-4277
Mailing Address - Country:US
Mailing Address - Phone:239-230-2273
Mailing Address - Fax:239-230-1125
Practice Address - Street 1:1154 LEE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-4852
Practice Address - Country:US
Practice Address - Phone:239-230-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty