Active NPI
Florida Physical Medicine & Pain Center LLC
- Physical Medicine & Rehabilitation Physician
- Leesburg, FL
National Provider Identifier
1457734212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS 12502
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryNPI 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
- Florida Heart & Vascular Multi Specialty Group, PA
- Florida Heart & Vascular Multi Specialty Group, PA
- Florida Hospital Waterman Inc
- Florida Hospitalist Associates LLC
- Florida Internal Medicine, PL
- Florida Physical Therapy & Rehabilitative Services Inc
- Florida Radiology Associates LLC
- Florida Woman Care, LLC
- Patricia Jean Flynn
- Thomas Andrew Focht, PTA
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.