Organization · Type 2 NPI

Shoreside Interventional Pain LLC

Interventional Pain Medicine Physician · Sarasota, FL

NPI number 1407522212 Active

Practice location

2068 Hawthorne St Ste 101
Sarasota, FL 34239-2368

Fax (941) 362-5559

Mailing address

9330 Lbj Fwy Ste 800
Dallas, TX 75243-4310

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1407522212

Shoreside Interventional Pain LLC's National Provider Identifier is 1407522212, issued on Aug 20, 2021. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Sarasota, FL. The record was last updated on Sep 17, 2024.