Orlando Pain Management Center LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

ORLANDO PAIN MANAGEMENT CENTER LLC

Practice address

5425 S Semoran Blvd Ste 11
Orlando, FL 32822-1777

Phone

(407) 658-4616

Fax

(407) 658-4617

NPI assigned

Apr 13, 2026

Organization subpart

No

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

Authorized official

Name

Phaedra Lund Shudra

Title

Credentialing and Contracting Spec

Phone

(813) 785-4861

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Brigitte Justis, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Orlando, FL
  • NPI 1023113537
  NPD (past)
• Samuel M. Rosati, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1770609554

  Addiction Medicine

  NPD (past)

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1659214625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 S SEMORAN BLVD STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221777",
            "telephone_number": "407-658-4616",
            "fax_number": "407-658-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S SEMORAN BLVD STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221777",
            "telephone_number": "407-658-4616",
            "fax_number": "407-658-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PAIN MANAGEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "SHUDRA",
        "authorized_official_first_name": "PHAEDRA",
        "authorized_official_middle_name": "LUND",
        "authorized_official_title_or_position": "CREDENTIALING AND CONTRACTING SPEC",
        "authorized_official_telephone_number": "813-785-4861"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Orthopaedic Outpatient Surgery Center LLC
• Orlando Outpatient Radiology Services
• Orlando Outpatient Surgery Center LLC
• Orlando Pain & Medical Rehabilitation, MW, LLC
• Orlando Pain and Rehab Center, Inc.
• Orlando Pediatric Psychiatry LLC
• Orlando Pharmacy Inc
• Orlando Physical Therapy
• Orlando Physician Specialists LLC
• Orlando Physician Specialists LLC

• Addiction Medicine (Family Medicine) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.