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 Suite 301, Kissimmee FL 34741-4156. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Pain Medicine is 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 Suite 301
Kissimmee FL 34741-4156
Phone: (407) 935-9404
Fax: (407) 935-9304
Website:
Authorized official contact:
Name: Rajyaguru, Vrajlal L Doctor of Medicine (MD)
Phone: (407) 935-9404
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME0066759 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME0066759 | Florida |
| Ambulatory Health Care Facilities / Pain | 261QP3300X | Florida |
Profile Details
| NPI number | 1861470049 |
|---|---|
| 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 | Jan 6th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861470049 | NPPES |
| Florida | MEDICAID | 377046000 |
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