National Provider Identifier Database

FLORIDA PAIN MANAGEMENT CENTER INC
Pain Medicine

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.


Contact Information

FLORIDA PAIN MANAGEMENT CENTER, INC
111 WATERMAN AVE
MOUNT DORA, FL32757-9541
Phone: 352-735-3313
Fax: 352-735-3711
Website:
Specialty Taxonomy Code
* Pain Medicine 207LP2900X
Anesthesiology 207L00000X
Interventional Pain Medicine 208VP0014X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for FLORIDA PAIN MANAGEMENT CENTER, INC

NPI Number 1811967250
Legal business name
LBN
FLORIDA PAIN MANAGEMENT CENTER, INC
Authorized official STACY BERCKES - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/26/2006
Last updated 12/13/2013 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 0053506100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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