Organization Active NPI

Center for Addiction and Pain Management, LLC.

  • Multi-Specialty Clinic/Center
  • Clermont, FL
National Provider Identifier
1295196459
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME 126938 Issued in FL
Legal business name
CENTER FOR ADDICTION AND PAIN MANAGEMENT, LLC.
Practice address
235 Citrus Tower Boulevard
Suite 104
Clermont, FL 34711
Phone
(352) 404-8160
Fax
(352) 404-8560
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Obed Saint-Louis, M.D.
Title
Ceo
Phone
(772) 663-2492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME 126938 FL Primary

Addresses

Primary practice location

235 Citrus Tower Boulevard
Suite 104
Clermont, FL 34711

Mailing address

235 Citrus Tower Boulevard
Suite 104
Clermont, FL 34711
Phone (352) 404-8160

Other identifiers 1

IdentifierTypeStateIssuer
016932800MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2117758Center for Addiction & Pain Management235 Citrus Tower Blvd Ste 104, Clermont, FL 34711Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory

Locations

1514 S Alexander St
Plant City, FL 33563
Phone (352) 404-8160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1295196459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CITRUS TOWER BOULEVARD",
            "address_2": "SUITE 104",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-404-8160",
            "fax_number": "352-404-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CITRUS TOWER BOULEVARD",
            "address_2": "SUITE 104",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-404-8160",
            "fax_number": "352-404-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADDICTION AND PAIN MANAGEMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SAINT-LOUIS",
        "authorized_official_first_name": "OBED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-663-2492",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME 126938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016932800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.