INTERVENTIONAL PAIN REHAB AND REGENERATIVE CENTER OF FLORIDA (NPI# 1336687391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336687391 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN REHAB AND REGENERATIVE CENTER OF FLORIDA |
| Other Organization Name | ANTI-AGING, REGENERATION AND PAIN CENTER |
| Practice Address |
2275 N Volusia Ave Orange City FL 32763-2833 |
| Mailing Address |
2111 Hontoon Rd Deland FL 32720-4308 |
| Practice Telephone | 3867740109 |
| Practice Fax Number | 3867741203 |
| Mailing Telephone | 3867479771 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | DR. GEORGE TATAW BESONG (PRESIDENT & CEO) |
| Authorized Official Telephone | 3867479771 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME123086 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | ME92729 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME92729 | FL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME92729 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Anti-Aging, Regeneration and Pain Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2728 Enterprise Rd, Suite 200, Orange City, FL 327638276 | 3867740109 |
| Street Address |
2275 N VOLUSIA AVE |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821715 | George T Besong | Obstetrics & Gynecology | 2275 N Volusia Ave, Orange City, FL 32763-2833 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| 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 |
|---|---|---|---|---|
| 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 CITY |
| Zip Code | 32763 |
Please comment or provide details below to improve the information on INTERVENTIONAL PAIN REHAB AND REGENERATIVE CENTER OF FLORIDA.
| 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.