PALM BEACH PAIN LLC NPI 1386183549

NPI Information

  • NPI: 1386183549
  • Provider Name: PALM BEACH PAIN LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 5610 PGA BLVD STE 210
    PALM BEACH GARDENS, FL
    ZIP 33418
  • Phone: (561) 781-8010

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NPI Details

PALM BEACH PAIN LLC is an interventional pain medicine pain medicine in Palm Beach Gardens, 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. PALM BEACH PAIN LLC NPI is 1386183549. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5610 PGA BLVD STE 210
PALM BEACH GARDENS, FL
ZIP 33418-838
Phone: (561) 781-8010
Fax: (561) 781-8020

The provider's authorized official is Ricardo A Leano .
The authorized official title is President and has the following contact phone number (561) 781-8010.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 2/20/2017.

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 MedicineME87536FLORIDAYes

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
178755NMEDICARE UPINFLORIDA
278755PMEDICARE PINFLORIDA
3015251200MEDICAIDFLORIDA

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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