Organization Active NPI

Surgical Pain Consultants of Florida PLLC

  • Pain Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1487053492
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME 115987 Issued in FL
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

Updated by the provider on Aug 14, 2014

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.