Florida Pain Management Center, Inc
LBN: Florida Pain Management Center, Inc
Florida Pain Management Center, Inc is an health care organization with primary practice located at 111 Waterman Ave , Mount Dora FL 32757-9541. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Florida Pain Management Center, Inc can be contacted via phone (352) 735-3313, or through Berckes, Stacy J. via phone (352) 735-3313.
Contact Information
Primary practice address
111 Waterman Ave
Mount Dora FL 32757-9541
Phone: (352) 735-3313
Fax: (352) 735-3711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1811967250 |
|---|---|
| LBN Legal business name | Florida Pain Management Center, Inc |
| DBA Doing business as | |
| Authorized official | Berckes, Stacy J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 13th, 2013 - about 11 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 | 1811967250 | NPPES |
| Florida | MEDICAID | 0053506100 |
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