SW Florida Pain Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SW FLORIDA PAIN CENTER INC

Practice address

19621 Cochran Blvd
Unit #1
Port Charlotte, FL 33948

Phone

(941) 627-9095

Fax

(941) 629-6993

NPI assigned

Nov 8, 2006

Last updated

Jul 21, 2022By 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

Robert D Ball, D.O.NPI 1841454477

Title

Director

Phone

(941) 627-9095

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Robert Ball, D.O.

  • Interventional Pain Medicine Physician
  • Port Charlotte, FL
  • NPI 1841454477
  Medicare reassignment Care Compare group NPD Authorized official
• Dailyn Hernandez Martinez, ACNPC-AG-BC

  • Nurse Practitioner
  • Fort Myers, FL
  • NPI 1174407456
  Medicare reassignment Care Compare group NPD
• Marie Zambelli, NP

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1508419656
  Medicare reassignment Care Compare group NPD
• Liam Fitzpatrick, MD

  • Pain Medicine (Anesthesiology) Physician
  • Port Charlotte, FL
  • NPI 1750764148
  Medicare reassignment Care Compare group
• Michael Rozak, MD

  • Physical Medicine & Rehabilitation Physician
  • Bradenton, FL
  • NPI 1295199826
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215006549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19621 COCHRAN BLVD STE 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482070",
            "telephone_number": "941-627-9095",
            "fax_number": "941-629-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19621 COCHRAN BLVD",
            "address_2": "UNIT #1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33948",
            "telephone_number": "941-627-9095",
            "fax_number": "941-629-6993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Jacaranda Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "34292",
            "country_code": "US",
            "telephone_number": "941-303-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SW FLORIDA PAIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-627-9095",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21632",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Home Health & Supplies LLC
• Surgery Center of Port Charlotte LTD (Gulf Pointe Surgery Center)
• Susan F Williams MD PA
• Gina Sussi, ARNP
• Danielly Sutta
• Katherine Swanson
• Swaroop Muppavarapu, M.D., P.a.
• Miranda Sweeney
• Victoria Marie Sweet
• Karlie Sweiderk, PA-C

• Specialist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.