SW FLORIDA PAIN CENTER INC (NPI# 1215006549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215006549 |
| Entity Type | Organization |
| Organization Name | SW FLORIDA PAIN CENTER INC |
| Practice Address |
19621 Cochran Blvd Unit #1 Port Charlotte FL 33948 |
| Practice Telephone | 9416279095 |
| Practice Fax Number | 9416296993 |
| Mailing Telephone | 9416279095 |
| Mailing Fax Number | 9416296993 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-10-01 |
| Authorized Official Name | ROBERT D BALL (DIRECTOR) |
| Authorized Official Telephone | 9416279095 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 21632 | 01 |
| Street Address |
19621 COCHRAN BLVD UNIT #1 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831269752 | Louis Kevin Valente | Specialist | 19621 Cochran Blvd, Unit #1, Port Charlotte, FL 33948 | 2006-11-08 |
| 1841454477 | Robert Ball | Anesthesiology | 19621 Cochran Blvd, Unit #1, Port Charlotte, FL 33948-2070 | 2008-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437339397 | Nash Cataract & Laser Institute P A | Specialist | 18401 Murdock Cir, Suite A, Port Charlotte, FL 33948-1088 | 2007-11-08 |
| 1831269752 | Louis Kevin Valente | Specialist | 19621 Cochran Blvd, Unit #1, Port Charlotte, FL 33948 | 2006-11-08 |
| 1891870465 | Ali Asghar Azima | Specialist | 21178 Olean Blvd, Suite C, Port Charlotte, FL 33952-6728 | 2006-10-25 |
| 1558441550 | Charlotte Heart and Vascular Institute Pa | Specialist | 3340 Tamiami Trail, Port Charlotte, FL 33952-8088 | 2006-10-16 |
| 1538186127 | John J Janick | Specialist | 1649 Tamiami Trl Unit 1c, Port Charlotte, FL 33948-1019 | 2006-07-17 |
| 1558303966 | Issa F Baroudi | Specialist | 3222 Tamiami Trl, Port Charlotte, FL 33952-8048 | 2006-06-11 |
| 1376592147 | Sherry M Karnavas | Specialist | 2866 Tamiami Trl Ste A, Port Charlotte, FL 33952-5165 | 2006-05-09 |
| 1982678306 | Stephen E Chiarello | Specialist | 3280 Tamiami Trl, Suite 20, Port Charlotte, FL 33952-8053 | 2006-02-14 |
| 1851645626 | Hetal M Patel | Specialist | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2012-11-01 |
| 1700146800 | Orlando A Doria | Specialist | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 | 2012-05-22 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on SW FLORIDA PAIN CENTER INC.
| 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.