Provider Type Icon

MMCO PAIN MANAGEMENT LLC NPI 1396404836


NPI Information

NPI: 1396404836
Provider Name: MMCO PAIN MANAGEMENT LLC

Doing Business As: POMPANO PAIN

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D2255512

Address:
1800 N FEDERAL HWY STE 105
POMPANO BEACH, FL
ZIP 33062
Phone: (954) 934-9856
Get Directions

MMCO PAIN MANAGEMENT LLC is an interventional pain medicine pain medicine in Pompano Beach, 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. MMCO PAIN MANAGEMENT LLC NPI is 1396404836. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pompano Pain.

The provider's business location address is:

1800 N FEDERAL HWY STE 105
POMPANO BEACH, FL
ZIP 33062-011
Phone: (954) 934-9856
Fax: (954) 934-9464

The provider's authorized official is Maria Mercedes Cristancho .
The authorized official title is Owner and has the following contact phone number (954) 934-9856.

The CLIA number assigned to this NPI record is 10D2255512 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2021 and was last updated on 9/20/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineNo
2208VP0000XPain MedicinePain MedicineNo
3261QP3300XClinic/CenterPainNo
4208VP0014XPain MedicineInterventional Pain MedicineYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.