PHYSICIAN PROVIDERS GROUP PA NPI 1396200283

NPI Information

  • NPI: 1396200283
  • Provider Name: PHYSICIAN PROVIDERS GROUP PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: COMPREHENSIVE PAIN MANAGEMENT
  • Address: 3120 SW 27TH AVE STE 300
    OCALA, FL
    ZIP 34471
  • Phone: (352) 344-4791

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NPI Details

PHYSICIAN PROVIDERS GROUP PA is a specialist in Ocala, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHYSICIAN PROVIDERS GROUP PA NPI is 1396200283. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Comprehensive Pain Management.

The provider's business location address is:

3120 SW 27TH AVE STE 300
OCALA, FL
ZIP 34471-984
Phone: (352) 344-4791
Fax: (352) 344-3822

The provider's authorized official is Robert Ulseth .
The authorized official title is Owner and has the following contact phone number (352) 553-4075.

The enumeration date for this NPI number is 2/5/2019 and was last updated on 7/3/2023.

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
1174400000XSpecialistYes

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
1K4662OTHERFLORIDAFL MEDICARE
234759OTHERFLORIDABLUE SHEILD PROV #
3DA4473OTHERFLORIDARAILROAD MEDICARE #

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: 11/21/2025

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