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ST JUDE PAIN AND REHABILITATION SPECIALISTS NPI 1184011496


NPI Information

NPI: 1184011496
Provider Name: ST JUDE PAIN AND REHABILITATION SPECIALISTS
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D2097628

Address:
2828 S SEACREST BLVD STE 211
BOYNTON BEACH, FL
ZIP 33435
Phone: (561) 369-7644
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ST JUDE PAIN AND REHABILITATION SPECIALISTS is an interventional pain medicine pain medicine in Boynton Beach, 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. ST JUDE PAIN AND REHABILITATION SPECIALISTS NPI is 1184011496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2828 S SEACREST BLVD STE 211
BOYNTON BEACH, FL
ZIP 33435
Phone: (561) 369-7644
Fax: (561) 369-3471

The provider's authorized official is Alexis R Renta .
The authorized official title is Physician and has the following contact phone number (561) 722-3388.

The CLIA number assigned to this NPI record is 10D2097628 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2015 and was last updated on 7/9/2018.


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
1208VP0000XPain MedicinePain MedicineME73546FLNo
2208VP0014XPain MedicineInterventional Pain MedicineME73546FLORIDAYes

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

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