Pain and Spine Centers of Florida, LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

ME99661 Issued in FL

Legal business name

PAIN AND SPINE CENTERS OF FLORIDA, LLC

Practice address

8136 Centralia CT
Suite 103
Leesburg, FL 34788-3757

Phone

(352) 343-6900

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Sean McLin

Title

Billing Manager

Phone

(941) 312-2831

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pain and Spine Centers of Florida LLC

  • Pain Medicine Physician
  • Lady Lake, FL
  • NPI 1639456692

  O20111215000653

  Same enrollment
• Pain and Spine Centers of Florida LLC

  • Pain Medicine Physician
  • Tavares, FL
  • NPI 1942587902

  O20111215000653

  Same enrollment

Tax ID family

Pain and Spine Centers of Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pain and Spine Centers of Florida LLC

  • Pain Medicine Physician
  • Lady Lake, FL
  • NPI 1639456692
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harshini Dhananjay, DO

  • Pain Medicine (Anesthesiology) Physician
  • Saint Petersburg, FL
  • NPI 1225266398
  NPD
• Aaron Matthew Howell, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Vero Beach, FL
  • NPI 1336302074
  NPD
• Suneeta Pinnamaneni, MD

  • Medical Oncology Physician
  • Leesburg, FL
  • NPI 1265609580
  NPD
• Babak Bedayat, MD

  • Interventional Pain Medicine Physician
  • Culpeper, VA
  • NPI 1083896955
  NPD

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1487097556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 CENTRALIA CT",
            "address_2": "SUITE 103",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883757",
            "telephone_number": "352-343-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 CENTRALIA CT",
            "address_2": "SUITE 103",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883757",
            "telephone_number": "352-343-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND SPINE CENTERS OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "MCLIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "941-312-2831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME99661",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME100408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayami Osoria Turro
• Mark Ossi, OD
• Irene Marie Owens, ARNP
• Tracy Oxendine, M.ED. CCC-SLP
• Munivenkatappa Padmanabh, M.D.
• Painfree Physical Therapy Inc
• Amber Leeanne Paitsel
• Ana Palacio, LCSW
• Brittany Papineau, RBT
• Paradigm Hospitalist Group

• Medical Oncology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Medical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.