| Organization Name: | FLAGSHIP PAIN MANAGEMENT AND REHABILITATION LLC |
| NPI Number: | 1033540133 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM E FREAS (CEO) |
| Mailing Address: | 157 Baltimore St Suite 301 Cumberland |
| State: | MD US |
| Postal Code: | 215022472 |
| Phone Number: | 3017223215 |
| Fax Number: | 3017221450 |
| NPI Enumeration Date: | 11/29/2013 |
| NPI Last Update Date: | 11/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |