Organization Active NPI

Florida Pain Care PLLC

  • Pain Clinic/Center
  • Clermont, FL
National Provider Identifier
1114438215
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
FLORIDA PAIN CARE PLLC
Practice address
2749 Citrus Tower Blvd
Clermont, FL 34711
Phone
(352) 559-0979
Fax
(352) 708-3050
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Daniel SchafferNPI 1194715227
Title
Owner
Phone
(352) 559-0979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

2749 Citrus Tower Blvd
Clermont, FL 34711

Mailing address

2749 Citrus Tower Blvd
Clermont, FL 34711-6699
Phone (352) 559-0979

Other practice location 1

1745 E Highway 50 Unit B
Clermont, FL 34711-5037
Phone (352) 559-0979

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180117000819 FL Part B Supplier - Clinic/Group Practice 0345509485 Receives reassigned benefits from 8 practitioners
Practice locations: Clearmont, FL; Clermont, FL
O20180517002714 FL DME Supplier - Multi-Specialty - Physician 0345509485 Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

1745 E Highway 50
Unit B
Clermont, FL 34711
Phone (352) 559-0979

2749 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 559-0979

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBCBD

Practitioners & affiliated clinicians

Practitioners 7

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1114438215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116699",
            "telephone_number": "352-559-0979",
            "fax_number": "352-708-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-559-0979",
            "fax_number": "352-708-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 E Highway 50 Unit B",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347115037",
            "country_code": "US",
            "telephone_number": "352-559-0979",
            "fax_number": "352-835-0673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA PAIN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-559-0979"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2019; 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.