Pain Center Of Orlando

LBN: Pain Center Of Orlando
Pain Center Of Orlando is an health care organization with primary practice located at 225 W State Rd 434 205 , Orlando FL 32750. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Pain Center Of Orlando can be contacted via phone (407) 679-3337, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
225 W State Rd 434 205 Orlando FL 32750
Phone: (407) 679-3337
Fax: (407) 678-7246
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X ME81513 Florida

Profile Details

NPI number 1649354275
LBN Legal business name Pain Center Of Orlando
DBA Doing business as Pain Center Of Orlando
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649354275 NPPES
Other 1011181 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 2000328 OTHER ID NUMBER-COMMERCIAL NUMBER

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