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PAIN MANAGEMENT INSTITUTE LLC NPI 1639333859


NPI Information

NPI: 1639333859
Provider Name: PAIN MANAGEMENT INSTITUTE LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D2300173

Address:
601 JENNINGS AVE
EUSTIS, FL
ZIP 32726
Phone: (352) 357-0668
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PAIN MANAGEMENT INSTITUTE LLC is an interventional pain medicine pain medicine in Eustis, 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. PAIN MANAGEMENT INSTITUTE LLC NPI is 1639333859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 JENNINGS AVE
EUSTIS, FL
ZIP 32726-148
Phone: (352) 357-0668
Fax: (352) 357-3643

The provider's authorized official is Nathan Joshua Hanflink .
The authorized official title is President and has the following contact phone number (352) 357-0668.

The CLIA number assigned to this NPI record is 10D2300173 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 4/21/2020.


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 MedicineOS9725FLORIDAYes

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
1004178500MEDICAIDFLORIDA
210D1088106OTHERFLORIDACLIA-CERTIFICATE OF WAIVER
31036842OTHERFLORIDANON-PHARMACY DISPENSING SITE
4BH086OTHERFLORIDAPTAN-GROUP
5JR44088000OTHERFLORIDAFL DOH-RADIATION MACHINE
6PMC1328OTHERFLORIDAFL DOH-PAIN MANAGEMENT CLINIC
7DP7786OTHERFLORIDARAILROAD MEDICARE PTAN

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: 5/5/2024

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