Organization · Type 2 NPI

Advanced Pain Management Specialist

Non-Pharmacy Dispensing Site · Fort Myers, FL

NPI number 1104005859 Active

Practice location

6120 Winkler Rd, Suite J
Fort Myers, FL 33919-8125

Mailing address

PO Box 07400
Fort Myers, FL 33919-0400

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XBD1688641 (FL)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5 other providers at this address

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About NPI 1104005859

Advanced Pain Management Specialist's National Provider Identifier is 1104005859, issued on Oct 30, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fort Myers, FL. The record was last updated on Dec 3, 2008.