OP MEDICAL LLC NPI 1144452582

NPI Information

  • NPI: 1144452582
  • Provider Name: OP MEDICAL LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2006233
  • Address: 1515 HERBERT ST
    STE 209
    PORT ORANGE, FL
    ZIP 32129
  • Phone: (386) 366-9119

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NPI Details

OP MEDICAL LLC is an interventional pain medicine pain medicine in Port Orange, 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. OP MEDICAL LLC NPI is 1144452582. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1515 HERBERT ST
STE 209
PORT ORANGE, FL
ZIP 32129-104
Phone: (386) 366-9119

The provider's authorized official is Andrew Joseph Ottaviani .
The authorized official title is Clinic Director and has the following contact phone number (386) 366-9119.

The CLIA number assigned to this NPI record is 10D2006233 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2009 and was last updated on 8/19/2009.

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
1208VP0014XPain MedicineInterventional Pain MedicineME0067232FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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