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PAINALGIA RELIEF CENTER LLC NPI 1003352592


NPI Information

NPI: 1003352592
Provider Name: PAINALGIA RELIEF CENTER LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 10D2133052

Address:
240 MOHAWK RD
CLERMONT, FL
ZIP 34715
Phone: (407) 531-8069
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PAINALGIA RELIEF CENTER LLC is a pain clinic center in Clermont, FL. PAINALGIA RELIEF CENTER LLC NPI is 1003352592. The provider is registered as an organization entity type.

The provider's business location address is:

240 MOHAWK RD
CLERMONT, FL
ZIP 34715
Phone: (407) 531-8069
Fax: (407) 386-3212

The provider's authorized official is Daniel Thierry Saint-elie .
The authorized official title is Physician and has the following contact phone number (407) 531-8069.

The CLIA number assigned to this NPI record is 10D2133052 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 12/29/2021.


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
1261QP3300XClinic/CenterPainFLORIDAYes
2261QR0400XClinic/CenterRehabilitationNo

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
1014743000MEDICAIDFLORIDA

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: 11/14/2023

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.