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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 Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for FLORIDA PAIN MANAGEMENT CENTER, INC

NPI # 1811967250
LBN Legal business name FLORIDA PAIN MANAGEMENT CENTER, INC
Authorized official STACY BERCKES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2006
Last updated 12/13/2013 - About 12 years ago
Identifiers
FL Medicaid 0053506100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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