Provider Demographics
NPI:1558912535
Name:DOCTORS' PAIN MANAGEMENT ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DOCTORS' PAIN MANAGEMENT ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:SYMONETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-442-8009
Mailing Address - Street 1:PO BOX 420037
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34742-0037
Mailing Address - Country:US
Mailing Address - Phone:321-442-8009
Mailing Address - Fax:321-442-8009
Practice Address - Street 1:3324 COMMERCE CENTER LN
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5532
Practice Address - Country:US
Practice Address - Phone:321-442-8009
Practice Address - Fax:321-442-8012
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOCTORS' PAIN MANAGEMENT ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-22
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty