CENTRAL FLORIDA PAIN & SPINE INSTITUTE P A – NPI #1558573188
Clinic/Center

CENTRAL FLORIDA PAIN & SPINE INSTITUTE P A is an AHC clinic located in ORMOND BEACH, FL. NPPES has assigned the NPI number 1558573188 to CENTRAL FLORIDA PAIN & SPINE INSTITUTE P A on May 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL FLORIDA PAIN & SPINE INSTITUTE P A below.

NPI Profile for
CENTRAL FLORIDA PAIN & SPINE INSTITUTE P A

NPI Number
1558573188
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL FLORIDA PAIN & SPINE INSTITUTE P A
Primary location
725 W GRANADA BLVD
UNIT #22
ORMOND BEACH, FL 32174-5107
Phone: (386) 274-0097 Fax: (386) 274-4996
Mailing address
PO BOX 731618
ORMOND BEACH, FL 32173-1618
Phone: (386) 274-0097 Fax: (386) 274-4996
Organization Subpart
No
Authorized Official
ROCHELLE CANNON
ADMINISTRATOR
Phone: (386) 274-0097
Updated
Identifiers

Identifiers for CENTRAL FLORIDA PAIN & SPINE INSTITUTE P A

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherFL MEDICAL LIC #FLME86188
otherINDIVIDUAL NPI NUMBER1578507893
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP3300X
- Clinic/Center / Pain (Primary)		 FL ME86188

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.