NPIMap

Organization Active NPI

Southeast Florida Pain Management

  • Pain Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1003125113
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
HCC7909 Issued in FL
Legal business name
SOUTHEAST FLORIDA PAIN MANAGEMENT
Practice address
41 E Commercial Blvd
Ft Lauderdale, FL 33334-1621
Phone
(954) 771-3553
Fax
(954) 771-0664
NPI assigned
Oct 7, 2010
Last updated
Oct 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David M Carpenter
Title
President
Phone
(954) 661-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X HCC7909 FL Primary

Addresses

Primary practice location

41 E Commercial Blvd
Ft Lauderdale, FL 33334-1621

Mailing address

41 E Commercial Blvd
Ft Lauderdale, FL 33334-1621
Phone (954) 771-3553

National Provider Directory

National Provider Directory
Tax ID family
Southeast Florida Pain Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1003125113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333341621",
            "telephone_number": "954-771-3553",
            "fax_number": "954-771-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333341621",
            "telephone_number": "954-771-3553",
            "fax_number": "954-771-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST FLORIDA PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-661-7580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "HCC7909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.