Brevard Pain Management, Inc.

LBN: Brevard Pain Management, Inc.
Brevard Pain Management, Inc. is an health care organization with primary practice located at 1832 Garden St , Titusville FL 32796-3200. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Brevard Pain Management, Inc. can be contacted via phone (321) 264-1961, or through Jaffe, Todd B via phone (321) 757-0577.

Contact Information

Primary practice address
1832 Garden St Titusville FL 32796-3200
Phone: (321) 264-1961
Fax: (321) 264-0472
Website:
Map and Directions
Authorized official contact:
Name: Jaffe, Todd B Doctor of Medicine (MD)
Phone: (321) 757-0577

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1346251022
LBN Legal business name Brevard Pain Management, Inc.
DBA Doing business as
Authorized official Jaffe, Todd B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 25th, 2010 - 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 1346251022 NPPES
Florida Other CM3459 RAILROAD MEDICARE PTAN
Florida MEDICAID 0692212-00 RAILROAD MEDICARE PTAN

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