| Novus Pain & Physical Medicine - Florida Llc | |
|
7052 Hawks Harbor Cir Bradenton FL 34207-5860 | |
| (301) 722-3215 | |
| Not Available |
| Full Name | Novus Pain & Physical Medicine - Florida Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7052 Hawks Harbor Cir, Bradenton, Florida |
| Authorized Official Name and Position | Heather Robosson (REGIONAL PRACTICE MANAGER) |
| Authorized Official Contact | 2407273995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novus Pain & Physical Medicine - Florida Llc 157 Baltimore St Ste 100 Cumberland MD 21502-2472 Ph: (240) 727-3995 | Novus Pain & Physical Medicine - Florida Llc 7052 Hawks Harbor Cir Bradenton FL 34207-5860 Ph: (301) 722-3215 |
| NPI Number | 1518500263 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 5496198699 |
|---|---|
| Medicare Enrollment ID | O20240205002373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518500263 | NPI | - | NPPES |
| Provider Name | Damean Freas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699837260 PECOS PAC ID: 5698855674 Enrollment ID: I20240204000039 |
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