NPIMap

Organization Active NPI

Florida Spine & Pain Institute

Doing business as Specialized Rehabilitation Physician Group

  • Interventional Pain Medicine Physician
  • Clermont, FL
National Provider Identifier
1053769661
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
FLORIDA SPINE & PAIN INSTITUTE
Doing business as
Specialized Rehabilitation Physician Group
Practice address
1804 Oakley Seaver Dr Ste F
Clermont, FL 34711-1925
Phone
(407) 499-0755
Fax
(949) 543-2564
NPI assigned
May 25, 2016
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Dara Sanchez
Title
Manager
Phone
(407) 744-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

1804 Oakley Seaver Dr Ste F
Clermont, FL 34711-1925

Mailing address

1804 Oakley Seaver Dr Ste F
Clermont, FL 34711-1925
Phone (407) 499-0755

Other practice location 1

410 Lionel Way Ste 202
Davenport, FL 33837-7809
Phone (407) 499-0755

Other practice location 2

1724 33rd St Ste 200
Orlando, FL 32839-8858
Phone (407) 499-0755

Other practice location 3

205 Park Place Blvd Ste a
Kissimmee, FL 34741-2345
Phone (407) 499-0755

Other practice location 4

5200 Davisson Ave Ste B
Orlando, FL 32810-5350
Phone (407) 499-0755

Other names 1

  • Specialized Rehabilitation Physician Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170510000924 FL Part B Supplier - Clinic/Group Practice 7012294556 Receives reassigned benefits from 16 practitioners
Practice locations: Clermont, FL; Orlando, FL; Davenport, FL; Kissimmee, FL
O20190409000334 FL DME Supplier - Physician - Physical and Rehabilitation 7012294556 Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

205 Park Place Blvd
Ste A
Kissimmee, FL 34741
Phone (407) 499-0755

5200 Davisson Ave
Ste A
Orlando, FL 32810
Phone (407) 290-1558

13305 Roseland Rd
Unit 755
Roseland, FL 32957

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1053769661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR STE F",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "407-499-0755",
            "fax_number": "949-543-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR STE F",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "407-499-0755",
            "fax_number": "949-543-2564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Lionel Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338377809",
            "country_code": "US",
            "telephone_number": "407-499-0755",
            "fax_number": "949-543-2564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 33rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328398858",
            "country_code": "US",
            "telephone_number": "407-499-0755",
            "fax_number": "949-543-2564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 PARK PLACE BLVD STE A",
            "address_purpose": "LOCATION",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412345",
            "country_code": "US",
            "telephone_number": "407-499-0755",
            "fax_number": "949-543-2564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Davisson Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328105350",
            "country_code": "US",
            "telephone_number": "407-499-0755",
            "fax_number": "949-543-2564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA SPINE & PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-744-4606"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialized Rehabilitation Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.