Anodyne Pain of PV

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ANODYNE PAIN OF PV

Doing business as

Anodyne Pain and Wellness of Ponte Vedra

Practice address

2 Fairfield Blvd Ste 9
Ponte Vedra, FL 32082-4621

Phone

(904) 473-5022

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 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

Lauren Cowgill

Title

Owner

Phone

(904) 473-5022

Specialties & licenses 2

Addresses

Other names 1

• Anodyne Pain and Wellness of Ponte Vedra Doing business as

Locations

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1265155899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FAIRFIELD BLVD STE 9",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320824621",
            "telephone_number": "904-473-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FAIRFIELD BLVD STE 9",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320824621",
            "telephone_number": "904-473-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANODYNE PAIN OF PV",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "COWGILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-473-5022"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anodyne Pain and Wellness of Ponte Vedra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.