Mobile Pain Management and Sports Medicine LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME100973 Issued in FL

Legal business name

MOBILE PAIN MANAGEMENT AND SPORTS MEDICINE LLC

Practice address

3255 NW 94TH Avenue
# 9161
Coral Springs, FL 33075

Phone

(888) 620-7246

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Janice Victor, M.D.

Title

Management

Phone

(888) 620-7246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1619347309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 NW 94TH AVENUE",
            "address_2": "# 9161",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33075",
            "telephone_number": "888-620-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 NW 94TH AVENUE",
            "address_2": "# 9161",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33075",
            "telephone_number": "888-620-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PAIN MANAGEMENT AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "888-620-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME100973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon James Mitchell, CCC, SLP
• Ali Mithavayani
• Zafarulla A Mithavayani
• Moar Corp
• Mobile Acupuncture Inc
• Mobile Surgical Services Inc
• Eric Joseph Mocarski, PA-C
• Jodi Moegenburg, LCSW
• Finella Aziza Mohammed, PHARMD
• Shernauza Mohammed, MS-SLP

• Interventional Pain Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, 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 Oct 7, 2015; 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.