NPIMap

Organization Active NPI

Ispm of Florida

  • Pain Medicine (Anesthesiology) Physician
  • Punta Gorda, FL
National Provider Identifier
1023335296
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ISPM OF FLORIDA
Practice address
610 East Olympia Blvd
Ste 202
Punta Gorda, FL 33950-3875
Phone
(941) 833-1100
Fax
(941) 637-0437
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Miss Samantha A Crandall
Title
Administrator
Phone
(941) 205-0270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

610 East Olympia Blvd
Ste 202
Punta Gorda, FL 33950-3875

Mailing address

3400 Peachtree Rd NE
Ste 811
Atlanta, GA 30326-1107
Phone (941) 205-0270

National Provider Directory

National Provider Directory

Locations

610 E Olympia Ave
Ste 202
Punta Gorda, FL 33950
Phone (941) 833-1100

3400 Peachtree Rd NE
Ste 811
Atlanta, GA 30326

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1023335296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PEACHTREE RD NE",
            "address_2": "STE 811",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261107",
            "telephone_number": "941-205-0270",
            "fax_number": "941-205-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EAST OLYMPIA BLVD",
            "address_2": "STE 202",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503875",
            "telephone_number": "941-833-1100",
            "fax_number": "941-637-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISPM OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-205-0270",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.