Organization Active NPI

Pain Center P a

  • Pain Medicine (Anesthesiology) Physician
  • Coral Springs, FL
National Provider Identifier
1366701302
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN CENTER P A
Practice address
8130 Royal Palm Blvd
Suite 100
Coral Springs, FL 33065-5703
Phone
(954) 341-3538
Fax
(954) 341-3596
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
John Gomez, MD
Title
Owner
Phone
(954) 341-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

8130 Royal Palm Blvd
Suite 100
Coral Springs, FL 33065-5703

Mailing address

8130 Royal Palm Blvd
Suite 100
Coral Springs, FL 33065-5703
Phone (954) 341-3538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1366701302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD",
            "address_2": "SUITE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-341-3538",
            "fax_number": "954-341-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD",
            "address_2": "SUITE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-341-3538",
            "fax_number": "954-341-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-341-3538",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.