PAIN CENTER OF ORLANDO (NPI# 1649354275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649354275 |
| Entity Type | Organization |
| Organization Name | PAIN CENTER OF ORLANDO |
| Other Organization Name | PAIN CENTER OF ORLANDO |
| Practice Address |
225 W State Rd 434 205 Orlando FL 32750 |
| Practice Telephone | 4076793337 |
| Practice Fax Number | 4076787246 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST) |
| Authorized Official Telephone | 8006540889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME81513 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1011181 | 01 | |
| FL | 2000328 | 05 |
| Other Name | Type Code |
|---|---|
| PAIN CENTER OF ORLANDO | Doing Business As Name - Organization |
| Street Address |
225 W STATE RD 434 205 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| 1508301870 | Cvs Pharmacy Inc | Non-Pharmacy Dispensing Site | 8201 Chancellor Dr, Orlando, FL 32809-7657 | 2016-12-22 |
| 1619390457 | Central Florida Internists Inc | Non-Pharmacy Dispensing Site | 431 N Kirkman Rd, Orlando, FL 32811-1105 | 2014-01-30 |
| 1841517778 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 630 North Bumby Ave., Orlando, FL 32803 | 2010-05-03 |
| 1780871798 | Adventist Health Systems Sunbelt | Non-Pharmacy Dispensing Site | 8014 Conroy-windermere Road, Suite 104, Orlando, FL 32835 | 2007-10-03 |
| 1427681527 | Dedicated Senior Medical Centers of Florida, LLC | Non-Pharmacy Dispensing Site | 690 S Goldenrod Rd, Orlando, FL 32822-8108 | 2020-02-17 |
| 1417460668 | Mutual Family Health, LLC | Non-Pharmacy Dispensing Site | 8865 Commodity Cir, Orlando, FL 32819 | 2017-11-09 |
| 1609305804 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2017-06-09 |
| 1508218496 | Dr. Mark Bornstein Wc Pharmacy | Non-Pharmacy Dispensing Site | 701 E Michigan St, Orlando, FL 32806-4623 | 2016-07-05 |
| 1174971683 | Orlando Family Pysicians, LLC | Non-Pharmacy Dispensing Site | 810 N Nowell St, Orlando, FL 32808-7539 | 2016-05-25 |
| Find all providers in ORLANDO | ||||
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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.