Port St Lucie Pain Management Pllc
LBN: Port St Lucie Pain Management Pllc
Port St Lucie Pain Management Pllc is an health care organization with primary practice located at 8235 South Us Hwy 1 , Port St. Lucie FL 34952. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Port St Lucie Pain Management Pllc can be contacted via phone (772) 335-7246, or through Vance, Darlene via phone (772) 335-7246.
Contact Information
Primary practice address
8235 South Us Hwy 1
Port St. Lucie FL 34952
Phone: (772) 335-7246
Fax: (772) 335-7202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ||
| Ambulatory Health Care Facilities / Pain | 261QP3300X |
Profile Details
| NPI number | 1528277670 |
|---|---|
| LBN Legal business name | Port St Lucie Pain Management Pllc |
| DBA Doing business as | |
| Authorized official | Vance, Darlene |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Oct 28th, 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 | 1528277670 | NPPES |
| Florida | Other | 15198A | MEDICARE ID |
| Florida | Other | E32589 | MEDICARE ID |
| Florida | Other | 10719333 | MEDICARE ID |
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