Organization Active NPI

Neuro-Pain Medical Center

  • Health Maintenance Organization
  • Temple Terrace, FL
National Provider Identifier
1225358450
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
PMC 845 Issued in FL
Legal business name
NEURO-PAIN MEDICAL CENTER
Practice address
13248 Telecom Dr
Temple Terrace, FL 33637-0932
Phone
(813) 971-7272
Fax
(813) 971-6063
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Mr. Wale Julius, M.D
Title
President
Phone
(813) 971-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PMC 845 FL Primary

Addresses

Primary practice location

13248 Telecom Dr
Temple Terrace, FL 33637-0932

Mailing address

13248 Telecom Dr.
Temple Terrace, FL 33637
Phone (813) 971-7272

Other names 1

  • Neuro-pain medical center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1225358450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13248 TELECOM DR.",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-971-7272",
            "fax_number": "813-971-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13248 TELECOM DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370932",
            "telephone_number": "813-971-7272",
            "fax_number": "813-971-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-PAIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "JULIUS",
        "authorized_official_first_name": "WALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-971-7272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "PMC 845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro-pain medical center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.