Provider Type Icon

PHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA NPI 1205012325


NPI Information

NPI: 1205012325
Provider Name: PHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA

Former Legal Business Name: NONE

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 10D2022642

Address:
882 S KIRKMAN RD STE 305
ORLANDO, FL
ZIP 32811
Phone: (407) 291-3077
Get Directions

PHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA is a pain medicine physical medicine rehabilitation in Orlando, FL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA NPI is 1205012325. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is None.

The provider's business location address is:

882 S KIRKMAN RD STE 305
ORLANDO, FL
ZIP 32811-652
Phone: (407) 291-3077

The provider's authorized official is Nnamdi Nwaogwugwu .
The authorized official title is President and has the following contact phone number (407) 291-3077.

The CLIA number assigned to this NPI record is 10D2022642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 2/21/2011.


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 MedicineME76735FLORIDAYes

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

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.