Organization · Type 2 NPI

Physician Providers Group PA

Specialist · Inverness, FL

NPI number 1720073216 Active

Practice location

305 S Line Ave
Inverness, FL 34452-4605

Call (352) 344-4791 Map

Fax (352) 344-3822

Mailing address

PO Box 1925
Lady Lake, FL 32158-1925

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8 other providers at this address

Other specialist providers in Inverness

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NPI record

NPI: 1720073216
Entity type: Organization (Type 2)
Issued: Sep 12, 2005
Last updated: Jul 3, 2023
Status: Active

Other names

<unavail>
Comprehensive Pain Management Center · doing business as
Comprehensive Pain Management Center · doing business as

Authorized official

Robert Ulseth, MD
MD/owner
(352) 344-4791

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720073216

Physician Providers Group PA's National Provider Identifier is 1720073216, issued on Sep 12, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Inverness, FL. The record was last updated on Jul 3, 2023.