Advanced Pain Clinic,Pa

LBN: Advanced Pain Clinic,Pa
Advanced Pain Clinic,Pa is an health care organization with primary practice located at 505 W Vine St 301, Kissimmee FL 34741-4123. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Advanced Pain Clinic,Pa can be contacted via phone (407) 935-9404, or through Rajyaguru, Vrajlal L via phone (407) 935-9404.

Contact Information

Primary practice address
505 W Vine St 301 Kissimmee FL 34741-4123
Phone: (407) 935-9404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rajyaguru, Vrajlal L Doctor of Medicine (MD)
Phone: (407) 935-9404

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME0066759 Florida

Profile Details

NPI number 1386811834
LBN Legal business name Advanced Pain Clinic,Pa
DBA Doing business as
Authorized official Rajyaguru, Vrajlal L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386811834 NPPES
Florida MEDICAID 377046000

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