INTERVENTIONAL PAIN SERVICE LLC NPI 1689681793

NPI Information

  • NPI: 1689681793
  • Provider Name: INTERVENTIONAL PAIN SERVICE LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 201 N CLYDE MORRIS BLVD
    SUITE 120
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 254-4029

Map and Directions

Get Directions

NPI Details

INTERVENTIONAL PAIN SERVICE LLC is an interventional pain medicine pain medicine in Daytona Beach, 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. INTERVENTIONAL PAIN SERVICE LLC NPI is 1689681793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 N CLYDE MORRIS BLVD
SUITE 120
DAYTONA BEACH, FL
ZIP 32114-724
Phone: (386) 254-4029
Fax: (386) 254-4274

The provider's authorized official is William Ross Mayfield .
The authorized official title is Member Manager and has the following contact phone number (386) 254-4029.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/22/2020.

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 MedicineME0063660FLORIDAYes

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
118828OTHERFLORIDABLUE SHIELD

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI