Active NPI
Pain Care Place
- Point of Service
- Winter, FL
National Provider Identifier
1265698963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- ME12701
- Legal business name
- PAIN CARE PLACE
- Practice address
- 505 S. Dillard
Winter, FL 34787-4651 - Phone
- (407) 654-7276
- NPI assigned
- Aug 1, 2008
- Last updated
- Aug 1, 2008
- 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
- Lovery Goodwin
- Title
- Treasurer
- Phone
- (407) 654-2728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | ME12701 | FL | Primary |
Addresses
Primary practice location
505 S. Dillard
Winter, FL 34787-4651
Mailing address
505 S. Dillard
Winter, FL 34787-4651
Phone (407) 654-7276
National Provider Directory
National Provider DirectoryLocations
505 S Dillard St
Winter Garden, FL 34787
Phone (407) 654-7276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217548800000",
"number": "1265698963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S. DILLARD",
"city": "WINTER",
"state": "FL",
"postal_code": "347874651",
"telephone_number": "407-654-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S. DILLARD",
"city": "WINTER",
"state": "FL",
"postal_code": "347874651",
"telephone_number": "407-654-7276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN CARE PLACE",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-01",
"last_updated": "2008-08-01",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "LOVERY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "407-654-2728"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "FL",
"license": "ME12701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.