NPI 1093957102
Cscn Pain Management LLC
Practice location
- Address
- 1564 Kingsley Ave, Orange Park, FL 32073-4511
- Phone
- (904) 264-0400
- Mailing address
- PO Box 864483, Orlando, FL 32886-4483
Authorised official
- Name
- Carl R. Noback
- Title
- Managing Member
- Phone
- (941) 360-1566
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1093957102
- Entity type
- Organization
- NPI issued
- 3 Apr 2009
- Record last updated
- 3 Apr 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.