Interventional Spine And Pain Institute Llc

LBN: Interventional Spine And Pain Institute Llc
Interventional Spine And Pain Institute Llc is an health care organization with primary practice located at 5200 Babcock St Ne Ste 111 , Palm Bay FL 32905-4639. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Interventional Spine And Pain Institute Llc can be contacted via phone (772) 360-1997, or through Shudra, Phaedra Lund via phone (813) 785-4861.

Contact Information

Primary practice address
5200 Babcock St Ne Ste 111 Palm Bay FL 32905-4639
Phone: (772) 360-1997
Fax: (772) 492-3541
Website:
Map and Directions
Authorized official contact:
Name: Shudra, Phaedra Lund
Phone: (813) 785-4861

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1396526901
LBN Legal business name Interventional Spine And Pain Institute Llc
DBA Doing business as
Authorized official Shudra, Phaedra Lund
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2023
Last updated Feb 27th, 2024 - about 10 months 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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