ADVANDCED PAIN MGMT SPECIALIST (NPI# 1689857435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689857435 |
| Entity Type | Organization |
| Organization Name | ADVANDCED PAIN MGMT SPECIALIST |
| Practice Address |
1425 Viscaya Pkwy #202 Cape Coral FL 33990-3294 |
| Mailing Address |
3607 Old Conejo Rd Thousand Oaks CA 91320-2123 |
| Practice Telephone | 2394378000 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | MARSHALL D BEDDER (PHYSICIAN) |
| Authorized Official Telephone | 2394378000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME92411 | FL | Suppliers |
| Street Address |
1425 VISCAYA PKWY #202 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990-3294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437248150 | Advanced Pain Management Specialists | Anesthesiology | 1425 Viscaya Pkwy, Suite 202, Cape Coral, FL 33990-3294 | 2006-10-12 |
| 1134524366 | Patricia J. Dury Md, Pa | Obstetrics & Gynecology | 1425 Viscaya Pkwy, Suite # 202, Cape Coral, FL 33990-3294 | 2014-10-30 |
| 1114274230 | Jennifer E Pena | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2012-08-08 |
| 1174818801 | Jeffrey Gene Poirier | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2011-06-10 |
| 1861725624 | Jeffrey Paul Calandra | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2009-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| 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 |
|---|---|---|---|---|
| 1285975607 | Florida Skin Center | Non-Pharmacy Dispensing Site | 4037 Del Prado Blvd S, Cape Coral, FL 33904-7162 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
Please comment or provide details below to improve the information on ADVANDCED PAIN MGMT SPECIALIST.
| 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.