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ADVANCED INTERVENTIONAL PAIN CLINIC LLC NPI 1760648273


NPI Information

NPI: 1760648273
Provider Name: ADVANCED INTERVENTIONAL PAIN CLINIC LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1170 S SEMORAN BLVD
ORLANDO, FL
ZIP 32807
Phone: (407) 622-7246
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ADVANCED INTERVENTIONAL PAIN CLINIC LLC 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. ADVANCED INTERVENTIONAL PAIN CLINIC LLC NPI is 1760648273. The provider is registered as an organization entity type and is a multi-specialty group.

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 Swamy Yatham .
The authorized official title is Director and has the following contact phone number (407) 622-7246.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 1/6/2015.


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
1208VP0014XPain MedicineInterventional Pain MedicineYes

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
16523340002MEDICARE NSC

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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