Saint Petersburg Interventional Pain Management Llc

LBN: Saint Petersburg Interventional Pain Management Llc
Saint Petersburg Interventional Pain Management Llc is an health care organization with primary practice located at 620 10Th St N Suite 2D, St Petersburg FL 33705-1407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Saint Petersburg Interventional Pain Management Llc can be contacted via phone (727) 824-8383, or through Godoy, Danya Alida via phone (172) 714-8573.

Contact Information

Primary practice address
620 10Th St N Suite 2D St Petersburg FL 33705-1407
Fax:
Website:
Authorized official contact:
Name: Godoy, Danya Alida Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME85040 Florida

Profile Details

NPI number 1306211743
LBN Legal business name Saint Petersburg Interventional Pain Management Llc
DBA Doing business as
Authorized official Godoy, Danya Alida Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 2015 - about 9 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 1306211743 NPPES
Florida MEDICAID 269485900

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