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MARTIN COUNTY PAIN CLINIC PL NPI 1942252531


NPI Information

NPI: 1942252531
Provider Name: MARTIN COUNTY PAIN CLINIC PL
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 10D2014486

Address:
725 SE OSCEOLA ST
SUITE 2
STUART, FL
ZIP 34994
Phone: (772) 286-0078
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MARTIN COUNTY PAIN CLINIC PL is a non pharmacy dispensing site in Stuart, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MARTIN COUNTY PAIN CLINIC PL NPI is 1942252531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

725 SE OSCEOLA ST
SUITE 2
STUART, FL
ZIP 34994-318
Phone: (772) 286-0078
Fax: (866) 665-2702

The provider's authorized official is Albert E Gardner .
The authorized official title is President and has the following contact phone number (772) 286-0078.

The CLIA number assigned to this NPI record is 10D2014486 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/6/2019.


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
1208VP0000XPain MedicinePain MedicineNo
2332900000XNon-Pharmacy Dispensing SiteME15899FLORIDAYes

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
1274837100MEDICAIDFLORIDA
239289OTHERFLORIDABCBS FL GROUP #

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.