Active NPI
Pain DX Solutions of Florida, LLC
- General Practice Physician
- Clearwater, FL
National Provider Identifier
1275979700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME17577
- Legal business name
- PAIN DX SOLUTIONS OF FLORIDA, LLC
- Practice address
- 24945 US Highway 19 N
Clearwater, FL 33763-3927 - Phone
- (201) 620-8396
- NPI assigned
- May 10, 2013
- 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. David Wolstein, MD
- Title
- Medical Director
- Phone
- (201) 620-8396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME17577 | FL | Primary |
Addresses
Primary practice location
24945 US Highway 19 N
Clearwater, FL 33763-3927
Mailing address
24945 US Highway 19 N
Clearwater, FL 33763-3927
Phone (201) 620-8396
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372636800000",
"number": "1275979700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24945 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337633927",
"telephone_number": "201-620-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24945 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337633927",
"telephone_number": "201-620-8396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN DX SOLUTIONS OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-10",
"last_updated": "2013-07-01",
"status": "A",
"authorized_official_last_name": "WOLSTEIN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "201-620-8396",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ME17577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.