Premier Pain Management, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME100973 Issued in FL

Legal business name

PREMIER PAIN MANAGEMENT, PLLC

Practice address

3255 NW 94TH Ave
Suite 9161
Coral Springs, FL 33075-2001

Phone

(973) 698-7768

NPI assigned

Apr 14, 2015

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Debra Victor, M.D.

Title

President/Physician

Phone

(973) 698-7768

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1043606387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9161",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330759161",
            "telephone_number": "973-698-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 NW 94TH AVE",
            "address_2": "SUITE 9161",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330752001",
            "telephone_number": "973-698-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "973-698-7768",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME100973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164422705",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preferred Foot and Ankle, LLC
• Preferred Medical Supply LLC
• Preferred Primary Care Associates LLC
• Lily Beatriz Prellezo
• Premier Dermatology Associates, Inc
• Premier Primary Care Corporation
• Premise Health of Florida Medical PA (City of Coral Springs)
• Premium Vision Group (Premium Eye Care)
• Chad Allen Prescott, CRNA
• Irina Prescott, NP

• Interventional Pain Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.