PAIN AND PRIMARY CARE CENTER, PA (NPI# 1528105921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528105921 |
| Entity Type | Organization |
| Organization Name | PAIN AND PRIMARY CARE CENTER, PA |
| Practice Address |
702 N Alexander St Plant City FL 33563-3064 |
| Practice Telephone | 8137649355 |
| Practice Fax Number | 8137640695 |
| Mailing Telephone | 8137649355 |
| Mailing Fax Number | 8137640695 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | CARLOS A BOTERO (OWNER, PHYSICIAN) |
| Authorized Official Telephone | 8137649355 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CH3897 | 01 |
| Street Address |
702 N ALEXANDER ST |
| City | PLANT CITY |
| State | FL |
| Zip Code | 33563-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902880933 | Carlos Alberto Botero | Anesthesiology | 702 N Alexander St, Plant City, FL 33563-3064 | 2005-12-02 |
| 1801457999 | Jain Jolly | Nurse Practitioner | 702 N Alexander St, Plant City, FL 33563-3064 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1275171787 | Mary Ann Dillon | Nutritionist | 2011 N Wheeler Street, Plant City, FL 33563 | 2019-12-16 |
| 1023504271 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 1608 Oak Ave, Plant City, FL 33563 | 2018-07-10 |
| 1770092215 | Jennifer Lauren Zeljkovic | Nurse Practitioner | 1703 W. Thonotosassa Rd. A, Plant City, FL 33563 | 2017-09-27 |
| 1831632116 | Nusrat Bangash | Nurse Practitioner | 306 W Dixie St, Plant City, FL 33563 | 2016-11-18 |
| 1265987416 | Genice Collins Davis | Counselor | Heads, 100 E Baker Street #100, Plant City, FL 33563 | 2016-08-17 |
| 1184017089 | The Creative Chance | Counselor | 1803 C Collins Common James Redman Parkway, Plant City, FL 33563 | 2015-03-17 |
| 1518361377 | Anne J Lafontant | General Practice | 1509 W. Reynolds St Jay Care Medical Center, Plant City, FL 33563 | 2014-10-22 |
| 1003160201 | Heritage View Alf Inc. | Assisted Living Facility | 104 N. Gordon Street, Tampa, FL 33563 | 2012-11-09 |
| 1841455607 | Darshan Bhupen Shah | Family Medicine | 301 North Alexander Street, Advanced Care Hospitalists, Plant City, FL 33563 | 2008-07-22 |
| Find all providers in zip 33563 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477647147 | Richard Lockwood | Anesthesiology | 301 N. Alexander Street, Plant City, FL 33566 | 2006-10-03 |
| 1821572850 | New Day Pain and Wellness L.L.C. | Anesthesiology | 110 Southern Oaks Dr, Plant City, FL 33563-1446 | 2018-09-14 |
| 1619061900 | Mary Chase | Anesthesiology | 301 N Alexander St, Plant City, FL 33563-4303 | 2006-10-03 |
| 1528152816 | Patrick Gill | Anesthesiology | 301 N Alexander St, Plant City, FL 33563-4303 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 1689294621 | Advanced Pain Management and Wellness Center | Anesthesiology | 241 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2020-04-20 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1700446077 | Gulf Coast Pain Consultants LLC | Anesthesiology | 182 A East Redstone Ave, Crestview, FL 32539-5371 | 2019-06-18 |
| 1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1861056384 | Englewood Pain Management LLC | Anesthesiology | 2061 Englewood Rd Ste 2a, Englewood, FL 34223-1747 | 2019-04-30 |
| 1962066241 | Doctors Best Wellness Centers Inc | Anesthesiology | 2237 N Commerce Pkwy Ste 3, Weston, FL 33326-3250 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | PLANT CITY |
| Zip Code | 33563 |
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| 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.