PAIN CARE OF CLEARWATER – NPI #1790094829
Clinic/Center

PAIN CARE OF CLEARWATER is an AHC clinic located in CLEARWATER, FL. NPPES has assigned the NPI number 1790094829 to PAIN CARE OF CLEARWATER on October 07, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PAIN CARE OF CLEARWATER” is a dba name, the actual legal business name for this organization is PAIN CARE MANAGEMENT OF CLEARWATER, LLC. 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 12 years ago on Feb 13, 2014. 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 PAIN CARE OF CLEARWATER below.

NPI Profile for
PAIN CARE MANAGEMENT OF CLEARWATER, LLC

NPI Number
1790094829
Enumeration Date

(more than 15 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
PAIN CARE MANAGEMENT OF CLEARWATER, LLC
Doing Business As (dba): PAIN CARE OF CLEARWATER
Primary location
51 S MAIN AVE
SUITE 318
CLEARWATER, FL 33765-3952
Phone: (727) 572-6261 Fax: (727) 443-2501
Mailing address
5036 DR PHILLIPS BLVD
SUITE 337
ORLANDO, FL 32819-3310
Phone: (321) 251-4462 Fax: (888) 469-1872
Organization Subpart
No
Authorized Official
C LONG
MANAGING MEMBER
Phone: (321) 251-4462
Updated
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 PMC1340

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.