Advanced Integrated Pain & Spine Solutions
Organization Active NPI Pain Medicine Physician · Clermont, FL
NPI 1023763570 · NPPES record last updated Mar 1, 2022
Key facts
- NPI
- 1023763570
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- ADVANCED INTEGRATED PAIN & SPINE SOLUTIONS
- Practice address
- 1925 Don Wickham Dr
Clermont, FL 34711-1915 - Phone
- (407) 807-0098
- Fax
- (407) 530-0864
- NPI assigned
- Feb 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Narendren Narayanasamy, MD
- Title
- Owner
- Phone
- (407) 807-0098
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220520000149 | FL | Part B Supplier - Clinic/Group Practice | 0244617819 |
Receives reassigned benefits from 1 practitioner Practice locations: Clermont, FL; Four Corners, FL; Lady Lake, FL |
National Provider Directory
Locations
865 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 432-3939
17075 Cagan Ridge Blvd
Ste 101
Clermont, FL 34714
Phone (352) 717-4377
108 Park Place Blvd
Ste B
Davenport, FL 33837
Phone (863) 438-5895
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | Yes |
Addresses
Primary practice location
1925 Don Wickham Dr
Clermont, FL 34711-1915
Mailing address
PO Box 607
Minneola, FL 34755-0607
Phone (407) 807-0098
Other providers in Clermont, FL
- Advanced Clinical Laboratories, Inc.
- Advanced Faces, LLC
- Advanced Imaging Center of Clermont, Inc.
- Advanced Imaging Center of Leesburg,LLC
- Advanced Infectious Diseases &Wound Care Specialist LLC
- Advanced Kidney Care of Central
- Advanced Practitioner Services
- Advanced Practitioner Services LLC
- Advanced Speech & Rehab Services, LLC
- Adventist Health System /Sunbelt, Inc.
All providers in Clermont, FL · Pain Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.