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FLORIDA PAIN & REHABILITATION INSTITUTE INC NPI 1801245626


NPI Information

NPI: 1801245626
Provider Name: FLORIDA PAIN & REHABILITATION INSTITUTE INC

Doing Business As: INTERVENTIONAL MEDICAL ASSOCIATES

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D1036824

Address:
6821 NW 11TH PL
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-3353
Get Directions

FLORIDA PAIN & REHABILITATION INSTITUTE INC is an interventional pain medicine pain medicine in Gainesville, 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 1801245626. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Interventional Medical Associates.

The provider's business location address is:

6821 NW 11TH PL
GAINESVILLE, FL
ZIP 32605-216
Phone: (352) 331-3353
Fax: (352) 333-9035

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 10D1036824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 12/14/2018.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineME109651FLORIDANo
2208VP0000XPain MedicinePain MedicineME109651FLORIDANo
3208VP0014XPain MedicineInterventional Pain MedicineME109651FLORIDAYes

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
14273890019OTHERFLORIDAMEDICARE 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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