Organization Active NPI

Dream Medical LLC

Doing business as Spine & Neuro Pain Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Marianna, FL
National Provider Identifier
1528629144
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
DREAM MEDICAL LLC
Doing business as
Spine & Neuro Pain Specialists
Practice address
3009 4TH St
Marianna, FL 32446-2122
Phone
(850) 763-8000
Fax
(850) 785-1122
NPI assigned
Jun 25, 2019
Organization subpart
Yes
Parent organization
DREAM MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Aaron J Shores, MDNPI 1982702643
Title
President
Phone
(850) 763-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

3009 4TH St
Marianna, FL 32446-2122

Mailing address

2103 Jenks Ave
Panama City, FL 32405-4511
Phone (850) 763-8000

Other names 1

  • Spine & Neuro Pain Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Dream Medical LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1528629144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 4TH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462122",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DREAM MEDICAL LLC",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine & Neuro Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.