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SPINE AND PAIN MEDICINE CENTER PA NPI 1609051150


NPI Information

NPI: 1609051150
Provider Name: SPINE AND PAIN MEDICINE CENTER PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D1074337

Address:
8811 STATE ROAD 52
SUITE 21
HUDSON, FL
ZIP 34667
Phone: (727) 861-2277
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SPINE AND PAIN MEDICINE CENTER PA is a specialist in Hudson, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPINE AND PAIN MEDICINE CENTER PA NPI is 1609051150. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8811 STATE ROAD 52
SUITE 21
HUDSON, FL
ZIP 34667-784
Phone: (727) 861-2277
Fax: (727) 861-2062

The provider's authorized official is Daniel H Bender .
The authorized official title is President and has the following contact phone number (727) 861-2277.

The CLIA number assigned to this NPI record is 10D1074337 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 5/16/2017.


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
1174400000XSpecialistME0060231FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16464300001OTHERFLORIDAMEDICARE NSC
2K0355MEDICARE 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: 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.