PENINSULA PAIN MANAGEMENT LLC NPI 1861628521

NPI Information

  • NPI: 1861628521
  • Provider Name: PENINSULA PAIN MANAGEMENT, LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Former Legal Business Name: FOX LASER, LLC
  • Address: 13014 RIGGIN RIDGE RD
    OCEAN CITY, MD
    ZIP 21842
  • Phone: (443) 783-3543

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NPI Details

PENINSULA PAIN MANAGEMENT, LLC is an interventional pain medicine pain medicine in Ocean City, MD. 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. PENINSULA PAIN MANAGEMENT, LLC NPI is 1861628521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Fox Laser, Llc.

The provider's business location address is:

13014 RIGGIN RIDGE RD
OCEAN CITY, MD
ZIP 21842-716
Phone: (443) 783-3543

The provider's authorized official is Brent Fox .
The authorized official title is Owner and has the following contact phone number (443) 783-3543.

The enumeration date for this NPI number is 6/8/2009 and was last updated on 12/8/2012.

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
1207N00000XDermatologyNo
2363A00000XPhysician AssistantNo
3208VP0000XPain MedicinePain MedicineD0035246MARYLANDNo
4363L00000XNurse PractitionerNo
5208VP0014XPain MedicineInterventional Pain MedicineD0035246MARYLANDYes

What is NPI?

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This page was last updated on: 11/21/2025

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