Active NPI
Surgical Pain Consultants of Florida PLLC
- Pain Medicine Physician
- Vero Beach, FL
National Provider Identifier
1487053492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME 115987
- Legal business name
- SURGICAL PAIN CONSULTANTS OF FLORIDA PLLC
- Practice address
- 3185 Mariners Way
Vero Beach, FL 32963-9423 - Phone
- (214) 378-4661
- Fax
- (888) 624-8659
- NPI assigned
- Aug 14, 2014
- 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
- Brandy Barrow
- Title
- Credentialling Coordinator
- Phone
- (214) 378-4661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ME 115987 | FL | Primary |
Addresses
Primary practice location
3185 Mariners Way
Vero Beach, FL 32963-9423
Mailing address
10740 N Central Expy Ste 275
Dallas, TX 75231-2166
Phone (214) 378-4661
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407974400000",
"number": "1487053492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 N CENTRAL EXPY STE 275",
"city": "DALLAS",
"state": "TX",
"postal_code": "752312166",
"telephone_number": "214-378-4661",
"fax_number": "888-624-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3185 MARINERS WAY",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329639423",
"telephone_number": "214-378-4661",
"fax_number": "888-624-8659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL PAIN CONSULTANTS OF FLORIDA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A",
"authorized_official_last_name": "BARROW",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "CREDENTIALLING COORDINATOR",
"authorized_official_telephone_number": "214-378-4661"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME 115987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.