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FLORIDA PAIN & REHABILITATION INSTITUTE INC NPI 1144649823


NPI Information

NPI: 1144649823
Provider Name: FLORIDA PAIN & REHABILITATION INSTITUTE INC

Doing Business As: ADVANCED INTERVENTIONAL PAIN CLINIC

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D2060184

Address:
1170 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807
Phone: (407) 622-7246
Get Directions

FLORIDA PAIN & REHABILITATION INSTITUTE INC is an interventional pain medicine pain medicine in Orlando, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. FLORIDA PAIN & REHABILITATION INSTITUTE INC NPI is 1144649823. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Interventional Pain Clinic.

The provider's business location address is:

1170 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807-458
Phone: (407) 622-7246
Fax: (407) 599-7246

The provider's authorized official is Cherian Sajan .
The authorized official title is Owner and has the following contact phone number (407) 622-5766.

The CLIA number assigned to this NPI record is 10D2060184 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 8/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0000XPain MedicinePain MedicineME98251FLORIDANo
22081P2900XPhysical Medicine & RehabilitationPain MedicineME98251FLORIDANo
3208VP0014XPain MedicineInterventional Pain MedicineME98251FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14273890010MEDICARE NSCFLORIDA
2014953700MEDICAIDFLORIDA
334259AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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