Southern Interventional Pain Center Llc is a Neurology Clinic in Lake City, Florida. This organization is also known as sub part of Southern Interventional Pain Center Llc. It is located at 619 Sw Baya Dr Ste 102, Lake City, FL and its contact number is 386-361-3400. The authorized person for Southern Interventional Pain Center Llc is Maximilian Shahryar Shokat
who is Managing Member of the clinic and his/her contact number is 229-226-2234. Southern Interventional Pain Center Llc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Southern Interventional Pain Center Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southern Interventional Pain Center Llc
Specialization:
Neurology
Clinic Address:
619 Sw Baya Dr Ste 102, Lake City, Florida, 32025-4204
Phone:
386-361-3400
Fax:
855-313-1262
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Maximilian Shahryar Shokat
Position:
Managing Member
Contact Number:
229-226-2234
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Interventional Pain Center Llc clinic are as mentioned below.
NPI Number:
1063971596
Parent Organization:
Southern Interventional Pain Center Llc
NPI Enumeration Date:
14 Mar, 2019
NPI Last Update On:
31 Jan, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Interventional Pain Center Llc are as mentioned below.
Specialization
License Number
State
Status
Interventional Pain Medicine
Primary
Neurology
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southern Interventional Pain Center Llc 615 S Hansell St, Thomasville, Georgia
Zip:
31792-5556
Phone Number:
229-226-2234
Fax Number:
229-226-2237
Patients can reach Southern Interventional Pain Center Llc at 619 Sw Baya Dr Ste 102, Lake City, Florida or can call to book an appointment on 386-361-3400. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.