Florida Pain & Rehabilitation Institute Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME109651 Issued in FL

Legal business name

FLORIDA PAIN & REHABILITATION INSTITUTE INC

Practice address

308 S Harbor City Blvd Ste a
Melbourne, FL 32901-1500

Phone

(321) 733-0064

Fax

(321) 733-7970

NPI assigned

Jan 4, 2017

Organization subpart

Yes

Parent organization

FLORIDA PAIN AND REHABILITATION ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Cherian Sajan, MD

Title

Owner

Phone

(407) 622-5766

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Spine, Orthopedics and Rehabilitation Doing business as

Part of

Florida Pain Rehabilitation Associates Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Delray Beach, FL
  • NPI 1700396660

  Member Of

  NPD member

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1336684182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE STE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848194",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S HARBOR CITY BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011500",
            "telephone_number": "321-733-0064",
            "fax_number": "321-733-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PAIN & REHABILITATION INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PAIN AND REHABILITATION ASSOCIATES INC",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "SAJAN",
        "authorized_official_first_name": "CHERIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-622-5766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME109651",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME109651",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME109651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "4273890020",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine, Orthopedics and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Pain Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.