NPI 1407522212
Shoreside Interventional Pain LLC
Practice location
- Address
- 2068 Hawthorne St STE 101, Sarasota, FL 34239-2368
- Phone
- (941) 362-5555
- Fax
- (941) 362-5559
- Mailing address
- 9330 Lbj Fwy STE 800, Dallas, TX 75243-4310
Authorised official
- Name
- Stephen A. Irwin
- Title
- Owner
- Phone
- (479) 268-6090
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Anesthesiology Physician
Registry record
- NPI
- 1407522212
- Entity type
- Organization
- NPI issued
- 20 Aug 2021
- Record last updated
- 17 Sep 2024
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.