Active NPI
Boriken Pain and Anesthesia L.L.C.
- Interventional Pain Medicine Physician
- Plant City, FL
National Provider Identifier
1245764208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- BORIKEN PAIN AND ANESTHESIA L.L.C.
- Practice address
- 110 Southern Oaks Dr
Plant City, FL 33563-1446 - Phone
- (813) 938-6627
- Fax
- (866) 357-5209
- NPI assigned
- Apr 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Orvil Luis Ayala, MD
- Title
- Member
- Phone
- (813) 938-6627
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
110 Southern Oaks Dr
Plant City, FL 33563-1446
Mailing address
3433 Lithia Pinecrest Rd Ste 196
Valrico, FL 33596-6302
Phone (813) 938-6627
National Provider Directory
National Provider DirectoryLocations
110 Southern Oaks Dr
Plant City, FL 33563
Phone (813) 752-0757
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Brandon, FL
- NPI 1033353313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1245764208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 LITHIA PINECREST RD STE 196",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966302",
"telephone_number": "813-938-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SOUTHERN OAKS DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335631446",
"telephone_number": "813-938-6627",
"fax_number": "866-357-5209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORIKEN PAIN AND ANESTHESIA L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-17",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A",
"authorized_official_last_name": "AYALA",
"authorized_official_first_name": "ORVIL",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "813-938-6627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.