Southern Interventional Pain Center Llc

Specialty details in registry · Lake City, FL

Call (386) 361-3400 Directions

At a glance

619 Sw Baya Dr Ste 102, Lake City, FL 32025-4204

NPPES record updated Jan 31, 2020. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

619 Sw Baya Dr Ste 102
Lake City, FL 32025-4204
Professional details: NPI, taxonomy & registry record
NPI1063971596
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
208VP0014X
Enumeration date
Mar 14, 2019
Record updated
Jan 31, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Neurology

2084N0400X

Specialty details in registry

208VP0014X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

619 Sw Baya Dr Ste 102
Lake City, FL 32025-4204
Phone
(386) 361-3400
Fax
(855) 313-1262
Mailing address
615 S HANSELL ST

THOMASVILLE, GA 317925556
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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