Pain Diagnostic & Management Center LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN DIAGNOSTIC & MANAGEMENT CENTER LLC

Practice address

537 E Central Ave
Winter Haven, FL 33880-3054

Phone

(863) 293-3656

Fax

(863) 293-7887

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Peggy E Vent

Title

Billing Rep

Phone

(813) 685-2191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pain Diagnostic & Management Center Other name

Locations

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1700988672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115253",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803054",
            "telephone_number": "863-293-3656",
            "fax_number": "863-293-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DIAGNOSTIC & MANAGEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "VENT",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING REP",
        "authorized_official_telephone_number": "813-685-2191"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593467412",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Diagnostic & Management Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry R Padgett Jr., M.D.
• Rachel Alexandria Padgett, APRN
• Mayra Padilla, COTA/L
• Monica Rodriguez Pagan, PSYD
• Ian Pagel, DDS
• Pain Management Associates LLC
• Zaida Palavicini-Fabre
• Uma R Paleti
• Palm Garden of Winter Haven LLC
• Palm Integrative Fertility, PA

• Pain Medicine Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.