Organization Active NPI

Florida Physical Medicine & Pain Center LLC

  • Physical Medicine & Rehabilitation Physician
  • Leesburg, FL
National Provider Identifier
1457734212
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS 12502 Issued in FL
Legal business name
FLORIDA PHYSICAL MEDICINE & PAIN CENTER LLC
Practice address
601 E Dixie Ave
Ste 101
Leesburg, FL 34748-5953
Phone
(352) 787-9700
Fax
(352) 787-9700
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. Anureet Garg, D.O.
Title
Sole Member
Phone
(352) 787-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X OS 12502 FL Primary

Addresses

Primary practice location

601 E Dixie Ave
Ste 101
Leesburg, FL 34748-5953

Mailing address

PO Box 267
Tavares, FL 32778-0267
Phone (352) 787-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1457734212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327780267",
            "telephone_number": "352-787-9700",
            "fax_number": "352-787-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E DIXIE AVE",
            "address_2": "STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485953",
            "telephone_number": "352-787-9700",
            "fax_number": "352-787-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PHYSICAL MEDICINE & PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "ANUREET",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "352-787-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS 12502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.