FLORIDA PAIN & REHABILITATION INSTITUTE INC NPI 1154549905

NPI Information

  • NPI: 1154549905
  • Provider Name: FLORIDA PAIN & REHABILITATION INSTITUTE INC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: FLORIDA PAIN AND REHABILITATION CENTER
  • CLIA Number: 10D2120542
  • Address: 918 ROLLING ACRES RD STE 102
    LADY LAKE, FL
    ZIP 32159
  • Phone: (352) 751-6582

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NPI Details

FLORIDA PAIN & REHABILITATION INSTITUTE INC is an interventional pain medicine pain medicine in Lady Lake, 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 1154549905. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Pain And Rehabilitation Center.

The provider's business location address is:

918 ROLLING ACRES RD STE 102
LADY LAKE, FL
ZIP 32159-027
Phone: (352) 751-6582
Fax: (866) 330-7528

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 10D2120542 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/6/2017.

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
1208VP0014XPain 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134259AMEDICARE PINFLORIDA
234259BMEDICARE PINFLORIDA
34273890017OTHERFLORIDAMEDICARE DME PROVIDER ID
434259MEDICARE 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: 3/30/2025

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