Panhandle Pain Management, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PANHANDLE PAIN MANAGEMENT, LLC

Practice address

5330 N Davis Hwy
Pensacola, FL 32503-2006

Phone

(850) 477-5610

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Philip Renfroe

Title

President

Phone

(850) 477-5610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1598242539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-392-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032006",
            "telephone_number": "850-477-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-477-5610"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola
• Panhandle Orthopaedics LLC
• Panhandle Orthopaedics LLC
• Panhandle Orthopaedics LLC
• Panhandle Outpatient Surgery Center
• Panhandle Vascular Surgical Specialists
• Panhandle Vision Group Inc
• Michael A Pannell, PT
• Jaucental Pantlitz
• Elizabeth Leane Papa, M.ED., EDS. LPC LMHC

• Interventional Pain Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.