Provider Type Icon

SHORESIDE INTERVENTIONAL PAIN LLC NPI 1407522212


NPI Information

NPI: 1407522212
Provider Name: SHORESIDE INTERVENTIONAL PAIN LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2068 HAWTHORNE ST STE 101
SARASOTA, FL
ZIP 34239
Phone: (972) 792-5700
Get Directions

SHORESIDE INTERVENTIONAL PAIN LLC is an interventional pain medicine pain medicine in Sarasota, 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. SHORESIDE INTERVENTIONAL PAIN LLC NPI is 1407522212. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2068 HAWTHORNE ST STE 101
SARASOTA, FL
ZIP 34239-368
Phone: (972) 792-5700

The provider's authorized official is Stephen A. Irwin .
The authorized official title is Owner and has the following contact phone number (479) 268-6090.

The enumeration date for this NPI number is 8/20/2021 and was last updated on 8/20/2021.


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
1207L00000XAnesthesiologyNo
2208VP0014XPain 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: 4/28/2024

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.