Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Pain Management Specialist

Organization Non-Pharmacy Dispensing Site · NPI 1104005859

Advanced Pain Management Specialist is a Non-Pharmacy Dispensing Site in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

6120 Winkler Rd Ste J
Fort Myers, FL 33919-8125
Phone: (239) 437-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence BD1688641 (FL)

Record details

NPI number1104005859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Daitch — Physician · (239) 437-8000
NPI enumeratedOctober 30, 2007
Last updated in NPPESDecember 3, 2008
Mailing addressPo Box 07400, Fort Myers, FL 33919-0400

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