| Center For Addiction And Pain Management, Llc. | |
|
235 Citrus Tower Boulevard Suite 104 Clermont FL 34711 | |
| (352) 404-8160 | |
| (352) 404-8560 |
| Full Name | Center For Addiction And Pain Management, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 235 Citrus Tower Boulevard, Clermont, Florida |
| Authorized Official Name and Position | Obed Saint-louis (CEO) |
| Authorized Official Contact | 7726632492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Addiction And Pain Management, Llc. 235 Citrus Tower Boulevard Suite 104 Clermont FL 34711 Ph: (352) 404-8160 | Center For Addiction And Pain Management, Llc. 235 Citrus Tower Boulevard Suite 104 Clermont FL 34711 Ph: (352) 404-8160 |
| NPI Number | 1295196459 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 7214227750 |
|---|---|
| Medicare Enrollment ID | O20160613000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295196459 | NPI | - | NPPES |
| 016932800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME 126938 (Florida) | Primary |
| Provider Name | Obed N Saint Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558541839 PECOS PAC ID: 6103908066 Enrollment ID: I20160613000905 |
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