Active NPI
Pain Management Specialists of North Florida P a
- Pain Medicine (Anesthesiology) Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PAIN MANAGEMENT SPECIALISTS OF NORTH FLORIDA P A
- Practice address
- 1301 Plantation Island Dr S Ste 301a
St Augustine, FL 32080-3117 - Phone
- (904) 460-9555
- Fax
- (904) 460-0090
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raul A Monzon, M D
- Title
- Owner
- Phone
- (904) 460-9555
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 (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1301 Plantation Island Dr S Ste 301a
St Augustine, FL 32080-3117
Mailing address
1301 Plantation Island Dr S
Suite 301a
St Augustine, FL 32080-3117
Phone (904) 460-9555
Other practice location 1
199 S US Highway 17
Ste C
East Palatka, FL 32131
Phone (386) 325-4699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1076699 | Pain Management Specialists of North F | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
199 S US Highway 17
Ste C
East Palatka, FL 32131
Phone (386) 325-4699
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- St Augustine, FL
- NPI 1508885286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1699708693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PLANTATION ISLAND DR S",
"address_2": "SUITE 301A",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320803117",
"telephone_number": "904-460-9555",
"fax_number": "904-460-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PLANTATION ISLAND DR S STE 301A",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320803117",
"telephone_number": "904-460-9555",
"fax_number": "904-460-0090"
}
],
"practiceLocations": [
{
"address_1": "199 S US HIGHWAY 17",
"address_2": "STE C",
"address_purpose": "LOCATION",
"city": "EAST PALATKA",
"state": "FL",
"postal_code": "32131",
"country_code": "US",
"telephone_number": "386-325-4699",
"fax_number": "904-460-0090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAIN MANAGEMENT SPECIALISTS OF NORTH FLORIDA P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "MONZON",
"authorized_official_first_name": "RAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-460-9555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.