BREVARD PAIN CARE, PA (NPI# 1952760365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952760365 |
| Entity Type | Organization |
| Organization Name | BREVARD PAIN CARE, PA |
| Practice Address |
190 S Sykes Creek Pkwy Suite 1 Merritt Island FL 32952-3572 |
| Practice Telephone | 3214556353 |
| Practice Fax Number | 3214556361 |
| Mailing Telephone | 3214556353 |
| Mailing Fax Number | 3214556361 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | DR. MAHMOUD A EL-TOBGUI (PRESIDENT) |
| Authorized Official Telephone | 3214556353 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16940 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | 16940 | 01 |
| Street Address |
190 S SYKES CREEK PKWY SUITE 1 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972668 | Timothy Michael Wahl | Dentist | 190 S Sykes Creek Pkwy, Ste 2, Merritt Island, FL 32952-3572 | 2005-06-16 |
| 1386975415 | Restoration Medicine LLC | Obstetrics & Gynecology | 190 S Sykes Creek Pkwy, Suite #3, Merritt Island, FL 32952-3572 | 2010-01-29 |
| 1982877221 | Ash Dermatology & Skin Cancer Center, Pa | Dermatology | 190 S Sykes Creek Pkwy, Suite 3, Merritt Island, FL 32952-3572 | 2008-04-08 |
| 1255463709 | Mahmoud A El-tobgui | Specialist | 190 S Sykes Creek Pkwy, Merritt Island, FL 32952-3572 | 2007-03-11 |
| 1043342595 | Brevard Pain Care Pa | Specialist | 190 S Sykes Creek Pkwy, Suite 1, Merritt Island, FL 32952-3572 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| 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 |
|---|---|---|---|---|
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| 1457556540 | Virginia Lambkinheight | Specialist | 236 N Grove St, Merritt Island, FL 32953-3444 | 2007-06-19 |
| 1366645194 | Stephen Bradley Mitchell | Specialist | 440 Alabama Ave, Merritt Island, FL 32953-3312 | 2007-06-08 |
| 1932252608 | Mary Lee Sims | Specialist | 250 Bonita Dr, Merritt Island, FL 32952-5102 | 2007-01-18 |
| 1841356276 | Debra Lynn Ocker | Specialist | 1395 N Courtenay Pkwy Ste 206, Merritt Island, FL 32953-4475 | 2006-12-29 |
| 1629438635 | Space Coast Lung & Sleep Center | Specialist | 205 N Banana River Dr, Suite 105, Merritt Island, FL 32952-2596 | 2016-03-03 |
| 1851663348 | Leon A Cohen, M.d. Pa | Specialist | 375 S Courtenay Pkwy, Suite 1, Merritt Island, FL 32952-4868 | 2012-01-31 |
| 1952566689 | G Leonard Gioia Md Pa | Specialist | 650 S Courtenay Pkwy, Ste 102, Merritt Island, FL 32952-4977 | 2008-07-22 |
| 1528252723 | Steven Eugene Shepard | Specialist | 650 S Courtenay Pkwy, Suite 101, Merritt Island, FL 32952-4977 | 2007-08-30 |
| 1275738361 | Claudia Lambkin | Specialist | 236 N Grove St, Merritt Island, FL 32953-3444 | 2007-06-19 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
Please comment or provide details below to improve the information on BREVARD PAIN CARE, PA.
| 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.