1962738567 NPI number — COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC

Table of content: (NPI 1962738567)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962738567 NPI number — COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962738567
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1099 5TH AVE N
Provider Second Line Business Mailing Address:
STE 320
Provider Business Mailing Address City Name:
ST PETERSBURG
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33705-1469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-822-7000
Provider Business Mailing Address Fax Number:
727-822-7001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1099 5TH AVE N
Provider Second Line Business Practice Location Address:
STE 320
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33705-1469
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-822-7000
Provider Business Practice Location Address Fax Number:
727-822-7001
Provider Enumeration Date:
11/02/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BURNS
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-822-7000

Provider Taxonomy Codes

  • Taxonomy code: 261QP3300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 34087 . This is a "BS FLORIDA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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