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CLEARWATER PAIN MANAGEMENT ASSOCIATES NPI 1477585883


NPI Information

NPI: 1477585883
Provider Name: CLEARWATER PAIN MANAGEMENT ASSOCIATES
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 10D1042810

Address:
430 MORTON PLANT ST
SUITE 210
CLEARWATER, FL
ZIP 33756
Phone: (727) 446-4506
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CLEARWATER PAIN MANAGEMENT ASSOCIATES is a pain clinic center in Clearwater, FL. CLEARWATER PAIN MANAGEMENT ASSOCIATES NPI is 1477585883. The provider is registered as an organization entity type.

The provider's business location address is:

430 MORTON PLANT ST
SUITE 210
CLEARWATER, FL
ZIP 33756-398
Phone: (727) 446-4506
Fax: (727) 446-4695

The provider's authorized official is Edward Chen .
The authorized official title is Physician and has the following contact phone number (727) 446-4506.

The CLIA number assigned to this NPI record is 10D1042810 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 5/11/2009.


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
1261QP3300XClinic/CenterPainYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133986MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2257510800MEDICAIDFLORIDA
35792140001MEDICARE NSC

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

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.