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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1346251022 | NPPES |
| Florida | Other | CM3459 | RAILROAD MEDICARE PTAN |
| Florida | MEDICAID | 0692212-00 | RAILROAD MEDICARE PTAN |
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