Dream Medical LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

DREAM MEDICAL LLC

Doing business as

Spine & Neuro Pain Specialists

Practice address

4295 3Rd Ave
Marianna, FL 32446-2120

Phone

(850) 763-8000

Fax

(850) 785-1122

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Aaron J. Shores, MD

Title

President

Phone

(850) 763-8000

Specialties & licenses 1

Addresses

Other names 1

• Spine & Neuro Pain Specialists Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1144575135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462120",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine & Neuro Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine & Neuro Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Edward Donald Jr., RMHCI
• Anthony Yao Dorbu, MD
• Caitlyn Dorriety
• Dot's Caring Hands
• Sacrine L Douglas
• Dream Medical LLC (Spine & Neuro Pain Specialists)
• Alexander James Dudley, DMD
• Burton L Dunaway, PHARMD.
• Antonionetta Marie Dunlap, RMHC
• Kimberly Miller Dykes, ARNP-C

• Interventional Pain Medicine Physician in Marianna, FL
• Providers in Marianna, 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 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.