CENTER FOR ADDICTION AND PAIN MANAGEMENT LLC. NPI 1295196459

NPI Information

NPI: 1295196459
Provider Name: CENTER FOR ADDICTION AND PAIN MANAGEMENT, LLC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2117758

Address:
235 CITRUS TOWER BOULEVARD
SUITE 104
CLERMONT, FL
ZIP 34711
Phone: (352) 404-8160
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CENTER FOR ADDICTION AND PAIN MANAGEMENT, LLC. is a multi-specialty clinic center in Clermont, FL. CENTER FOR ADDICTION AND PAIN MANAGEMENT, LLC. NPI is 1295196459. The provider is registered as an organization entity type.

The provider's business location address is:

235 CITRUS TOWER BOULEVARD
SUITE 104
CLERMONT, FL
ZIP 34711
Phone: (352) 404-8160
Fax: (352) 404-8560

The provider's authorized official is Obed Saint-louis .
The authorized official title is Ceo and has the following contact phone number (772) 663-2492.

The CLIA number assigned to this NPI record is 10D2117758 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 9/5/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	ME 126938	FLORIDA	Yes

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
1	016932800	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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