INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE (NPI# 1184171605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184171605 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE |
| Other Organization Name | FLORIDA PAIN SPECIALISTS |
| Practice Address |
1895 Kingsley Ave Orange Park FL 32073-4466 |
| Mailing Address |
1895 Kingsley Ave. #903 Orange Park FL 32073-4175 |
| Practice Telephone | 9046448472 |
| Mailing Telephone | 9046448472 |
| Mailing Fax Number | 9043399753 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. TRAVIS RANDALL VON TOBEL (PRESIDENT) |
| Authorized Official Telephone | 2676798629 |
| 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 |
ME117856 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1154714129 | 01 |
| FL | NPI | 1487954723 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Pain Specialists | Doing Business As Name - Organization |
| The Institute for Florida Pain Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 393 Clearwater Drive, Ponte Vedra, FL 32082 | 2676798629 | 9043399753 |
| Street Address |
1895 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786059 | Victor A Maquera | Psychiatry & Neurology | 1895 Kingsley Ave, Ste 903, Orange Park, FL 32073-4466 | 2005-11-04 |
| 1093174377 | Ackerman Cancer Center | Urology | 1895 Kingsley Ave, Suite 903, Orange Park, FL 32073-4466 | 2016-02-16 |
| 1497148225 | Dianne Larson | Registered Nurse | 1895 Kingsley Ave, Suite 903, Orange Park, FL 32073-4466 | 2015-03-18 |
| 1821404914 | Advanced Maxillofacial Surgical LLC | Dentist | 1895 Kingsley Ave, Suite 403, Orange Park, FL 32073-4466 | 2014-07-09 |
| 1326478033 | Neurocare Inc. | Clinic/Center | 1895 Kingsley Ave, Suite 901, Orange Park, FL 32073-4466 | 2013-11-15 |
| 1346513876 | Carlos L. Esquivia-munoz, M.d.p.a. | Orthopaedic Surgery | 1895 Kingsley Ave, Suite 701, Orange Park, FL 32073-4466 | 2012-02-14 |
| 1346409745 | Francis D Ong Md Pa | Plastic Surgery | 1895 Kingsley Ave, Suite 403, Orange Park, FL 32073-4466 | 2008-06-02 |
| 1174717276 | Thomas Lupoli | Allergy & Immunology | 1895 Kingsley Ave, Orange Park, FL 32073-4466 | 2007-08-31 |
| 1811041015 | Allergy & Asthma Specialists of North Florida Pa | Allergy & Immunology | 1895 Kingsley Ave, Suite 401, Orange Park, FL 32073-4466 | 2007-01-23 |
| 1427101658 | National Neurodiagnostic Technologies Inc | Psychiatry & Neurology | 1895 Kingsley Ave, Suite 1005, Orange Park, FL 32073-4466 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1013291517 | Medical Partners of Jacksonville LLC | Pain Medicine | 1564 Kingsley Ave, Orange Park, FL 32073-4511 | 2011-10-03 |
| 1659508273 | Clay Pain Center Physicians LLC | Pain Medicine | 1564 Kingsley Ave, Orange Park, FL 32073-4511 | 2009-06-22 |
| 1093957102 | Cscn Pain Management LLC | Pain Medicine | 1564 Kingsley Ave, Orange Park, FL 32073-4511 | 2009-04-03 |
| 1255523957 | Sunshine Spine and Pain Pa | Pain Medicine | 2021 Kingsley Ave, Suite 103, Orange Park, FL 32073-5174 | 2007-08-16 |
| 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 | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE.
| 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.