FLORIDA INTERVENTIONAL PAIN MANAGEMENT LLC (NPI# 1164687778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164687778 |
| Entity Type | Organization |
| Organization Name | FLORIDA INTERVENTIONAL PAIN MANAGEMENT LLC |
| Practice Address |
1447 Medical Park Blvd 209 Wellington FL 33414-3164 |
| Mailing Address |
1447 Medical Park Blvd 209 Wellington FL 33414-3483 |
| Practice Telephone | 5615374817 |
| Mailing Telephone | 5615374817 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | DR. SAULIS MARIUS BANIONIS (PRESIDENT) |
| Authorized Official Telephone | 5615374817 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME98566 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1447 MEDICAL PARK BLVD 209 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017803 | Melissa E Carlson | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2005-07-14 |
| 1942653274 | Amanda Kane | Nurse Practitioner | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2016-07-21 |
| 1215319645 | Medical Park Surgery Center LLC | Clinic/Center | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2015-06-22 |
| 1548657216 | Florida Surgical Associates LLC | Specialist | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2015-04-21 |
| 1811309867 | Allergy and Asthma Specialists of South Florida LLC | Allergy & Immunology | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2014-05-27 |
| 1447694948 | Majesty Medical Associates LLC | Internal Medicine | 1447 Medical Park Blvd, Suite 405, Wellington, FL 33414-3164 | 2013-04-26 |
| 1699018838 | Stacha-keimone Kayana Newell | Nurse Practitioner | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2013-04-05 |
| 1639443534 | Jeroen Balledux Md LLC | Plastic Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2012-02-24 |
| 1629356357 | Danni Driscoll Md Pa | Anesthesiology | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-07-29 |
| 1437453180 | Fakhoury, Md, LLC | Neurological Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071261 | Bruce I Hindin | Pain Medicine | 2585 South State Road 7, Ste 110, Wellington, FL 33414-9323 | 2005-05-27 |
| 1124561733 | Certified Spine and Pain Care LLC | Pain Medicine | 1049 S State Rd, Wellington, FL 33414-6135 | 2016-11-30 |
| 1689049900 | Certified Spine and Pain Care LLC | Pain Medicine | 1049 S State Road 7, Wellington, FL 33414-6135 | 2015-12-11 |
| 1225293681 | Pain and Rehabilitation Physicians of Palm Beach Inc | Pain Medicine | 1397 Medical Park Blvd, Suite 480, Wellington, FL 33414-3186 | 2008-07-25 |
| 1528061165 | Howell R Goldfarb | Pain Medicine | 2585 South State Road 7, Ste 110, Wellington, FL 33414-9323 | 2005-05-27 |
| 1144223785 | Keith J Dietrick | Pain Medicine | 2585 South State Road 7, Ste 110, Wellington, FL 33414-9323 | 2005-05-27 |
| 1114920758 | Humberto L Porrata | Pain Medicine | 2585 South State Road 7, Ste 110, Wellington, FL 33414-9323 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
| 1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
| 1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
| 1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on FLORIDA INTERVENTIONAL PAIN MANAGEMENT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.