Active NPI
Dream Medical LLC
Doing business as Spine & Neuro Pain Specialists
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Marianna, FL
National Provider Identifier
1528629144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron J Shores, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
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.
-
- Interventional Pain Medicine Physician
- Panama City, FL
- NPI 1982702643
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.