Provider Demographics
NPI:1700015682
Name:HOPE PAIN MANAGEMENT GROUP, LLC.
Entity Type:Organization
Organization Name:HOPE PAIN MANAGEMENT GROUP, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEIJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-688-4673
Mailing Address - Street 1:1250 MARINER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-5657
Mailing Address - Country:US
Mailing Address - Phone:352-688-4673
Mailing Address - Fax:352-684-4673
Practice Address - Street 1:1250 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5657
Practice Address - Country:US
Practice Address - Phone:352-688-4673
Practice Address - Fax:352-684-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8512208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty