Interventional Pain Service Llc
LBN: Interventional Pain Service Llc
Interventional Pain Service Llc is an health care organization with primary practice located at 201 N Clyde Morris Blvd Suite 120, Daytona Beach FL 32114-2724. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty.
Interventional Pain Service Llc can be contacted via phone (386) 254-4029, or through Mayfield, William Ross via phone (386) 254-4029.
Contact Information
Primary practice address
201 N Clyde Morris Blvd Suite 120
Daytona Beach FL 32114-2724
Phone: (386) 254-4029
Fax: (386) 254-4274
Website:
Authorized official contact:
Name: Mayfield, William Ross Doctor of Medicine (MD)
Phone: (386) 254-4029
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME0063660 | Florida |
Profile Details
| NPI number | 1689681793 |
|---|---|
| LBN Legal business name | Interventional Pain Service Llc |
| DBA Doing business as | |
| Authorized official | Mayfield, William Ross Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1689681793 | NPPES |
| Florida | MEDICAID | 372693200 | |
| Florida | Other | 18828 |
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