NPI 1215429717

Pain Treatment Specialists

Organisation Interventional Pain Medicine Physician Fort Lauderdale, FL

Practice location

Address: 2601 E Oakland Park Blvd STE 200, Fort Lauderdale, FL 33306
Phone: (617) 314-0603
Mailing address: 2601 E Oakland Park Blvd STE 200, Fort Lauderdale, FL 33306-1612

Authorised official

Name: Youmna Distefano
Title: Managing Director
Phone: (617) 314-0603

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence ME132254 (FL)

Other Pain Medicine providers in Florida →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence ME132254 (FL)

Other Anesthesiology providers in Florida →

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence ME132254 (FL)

Registry record

NPI: 1215429717
Entity type: Organization
NPI issued: 31 May 2018
Record last updated: 5 Jun 2018

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.