Stango P.a.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME48748 Issued in FL

Legal business name

STANGO P.A.

Practice address

595 N Courtenay Pkwy
Ste. 101
Merritt Island, FL 32953-4851

Phone

(214) 378-4661

Fax

(888) 624-8659

NPI assigned

Jun 30, 2014

Last updated

Jun 30, 2014By 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

Miss Brandy K Barrow

Title

Credentialling Associate

Phone

(214) 378-4661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1225443146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY",
            "address_2": "STE.275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312161",
            "telephone_number": "214-378-4661",
            "fax_number": "888-624-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N COURTENAY PKWY",
            "address_2": "STE. 101",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534851",
            "telephone_number": "214-378-4661",
            "fax_number": "888-624-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANGO P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALLING ASSOCIATE",
        "authorized_official_telephone_number": "214-378-4661",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME48748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Merritt Island, FL
• Providers in Merritt Island, 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 Jun 30, 2014; 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.