NPI 1659508273

Clay Pain Center Physicians LLC

Organisation Pain Medicine Physician Orange Park, FL

Practice location

Address: 1564 Kingsley Ave, Orange Park, FL 32073-4511
Phone: (904) 264-0400
Mailing address: PO Box 864483, Orlando, FL 32886-4486

Authorised official

Name: Carl R. Noback
Title: Member
Phone: (941) 360-1566

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Florida →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Registry record

NPI: 1659508273
Entity type: Organization
NPI issued: 22 Jun 2009
Record last updated: 24 Jun 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.