NPIMap

Organization Active NPI

Pain Management Consultants of Southwest Florida, PL

  • Pain Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1619216314
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL
Practice address
7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone
(239) 333-1777
Fax
(239) 333-1169
NPI assigned
Jan 31, 2013
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Dr. Velimir A Micovic, MDNPI 1265422794
Title
Physician
Phone
(239) 333-1177

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 Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816

Mailing address

23 Barkley Cir
Fort Myers, FL 33907-7531
Phone (605) 988-4883

Other practice location 1

9400 Bonita Beach Rd SE Ste 101
Bonita Springs, FL 34135-4520
Phone (239) 333-1177 ext. 3216

Other practice location 2

1031 SE 9th Pl Unit 5
Cape Coral, FL 33990-3003
Phone (239) 333-1177 ext. 3216

National Provider Directory

National Provider Directory

Locations

23 Barkley Cir
Fort Myers, FL 33907
Phone (239) 333-1177

Practitioners & affiliated clinicians

Practitioners 9

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": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1619216314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531",
            "telephone_number": "605-988-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071816",
            "telephone_number": "239-333-1777",
            "fax_number": "239-333-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Bonita Beach Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354520",
            "country_code": "US",
            "telephone_number": "239-333-1177 x3216",
            "fax_number": "239-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 SE 9th Pl Unit 5",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903003",
            "country_code": "US",
            "telephone_number": "239-333-1177 x3216",
            "fax_number": "239-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "MICOVIC",
        "authorized_official_first_name": "VELIMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-333-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.