Individual provider Active NPI

Janice Debra Victor, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1164422705
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME100973 Issued in FL
Practice address
3536 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308
Phone
(888) 620-7245
Fax
(888) 371-1413
NPI assigned
Jul 26, 2005
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME100973 FL Primary

Addresses

Primary practice location

3536 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308

Mailing address

PO Box 11205
Fort Lauderdale, FL 33339-1205
Phone (888) 620-7246

Other practice location 1

3536 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308
Phone (888) 620-7245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051005000121 VI Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Anesthesiology 9436184835 Reassigns benefits to 1 organization
I20151021000632 FL Practitioner - Pain Management 9436184835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Wright State University Boonshoft School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 939-5000

401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME100973FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moonlight Anesthesia, P.L. CurrentSince Oct 15, 2019 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Sheridan Healthcorp Inc CurrentSince Oct 1, 2020 Accepting new patients
Miami Anesthesia Services LLC CurrentSince Mar 23, 2019 Accepting new patients
Comprehensive Orthopedics LLC CurrentSince Oct 22, 2015 Accepting new patients
Carib Equipment and Supply Past Accepting new patients
Virgin Islands Pain Management Associates LLC Pain Medicine PastSince Sep 19, 2005 Accepting new patients

Locations

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

5065 S State Road 7
Ste 101
Lake Worth, FL 33449
Phone (561) 273-2340

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

9151 Estate Thomas
Ste 206
St Thomas, VI 00802

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1164422705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391205",
            "telephone_number": "888-620-7246",
            "fax_number": "888-371-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 N FEDERAL HWY STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "888-620-7245",
            "fax_number": "888-371-1413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3536 N Federal Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33308",
            "country_code": "US",
            "telephone_number": "888-620-7245",
            "fax_number": "888-371-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "JANICE",
        "middle_name": "DEBRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME100973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.