PREMIER PAIN SPECIALISTS LLC NPI 1962589671

NPI Information

  • NPI: 1962589671
  • Provider Name: PREMIER PAIN SPECIALISTS LLC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 10D1053251
  • Address: 1228 SE 8TH TER
    CAPE CORAL, FL
    ZIP 33990
  • Phone: (239) 945-1105

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NPI Details

PREMIER PAIN SPECIALISTS LLC is a pain medicine anesthesiology in Cape Coral, 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. PREMIER PAIN SPECIALISTS LLC NPI is 1962589671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1228 SE 8TH TER
CAPE CORAL, FL
ZIP 33990-210
Phone: (239) 945-1105
Fax: (239) 945-4495

The provider's authorized official is Jules Alva Preudhomme .
The authorized official title is President and has the following contact phone number (239) 945-1105.

The CLIA number assigned to this NPI record is 10D1053251 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/2/2021.

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
1207LP2900XAnesthesiologyPain MedicineME72077FLORIDAYes

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
1050085760OTHERFLORIDAMEDICARE RAILROAD
243550OTHERFLORIDABLUE CROSS BLUE SHIELD OF
31132487OTHERFLORIDAFIRST HEALTH
4352107800OTHERFLORIDAACS
50403035OTHERFLORIDAWORKERS COMPENSATON
6285839OTHERFLORIDABC/BS VIRTUAL
77040371OTHERFLORIDAAETNA
8P2816206OTHERFLORIDAOXFORD

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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