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PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA PL NPI 1649284928


NPI Information

NPI: 1649284928
Provider Name: PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 10D2164122

Address:
7964 SUMMERLIN LAKES DR
FORT MYERS, FL
ZIP 33907
Phone: (239) 333-1177
Get Directions

PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL is a pain medicine anesthesiology in Fort Myers, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL NPI is 1649284928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7964 SUMMERLIN LAKES DR
FORT MYERS, FL
ZIP 33907-816
Phone: (239) 333-1177
Fax: (239) 333-1169

The provider's authorized official is Eugene D Mahaney .
The authorized official title is Manager and has the following contact phone number (239) 333-1177.

The CLIA number assigned to this NPI record is 10D2164122 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 4/25/2019.


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
1207LP2900XAnesthesiologyPain MedicineYes

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
1DD8974OTHERFLORIDARAILROAD MEDICARE PROV #
294990OTHERFLORIDABC BS FLORIDA GROUP PROV
3611443800OTHERDOL WORKERS COMPENSATION
4273924100MEDICAIDFLORIDA

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

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