Active NPI
Mid Florida Anesthesia Associates, Inc.
Doing business as Resolute Pain Solutions
- Pain Medicine (Anesthesiology) Physician
- Boca Raton, FL
National Provider Identifier
1710928775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- MID FLORIDA ANESTHESIA ASSOCIATES, INC.
- Doing business as
- Resolute Pain Solutions
- Practice address
- 7100 W Camino Real
Suite 301
Boca Raton, FL 33433-5510 - Phone
- (561) 465-2598
- Fax
- (561) 465-2599
- NPI assigned
- Jun 9, 2006
- Last updated
- Aug 20, 2015
- Organization subpart
- Yes
- Parent organization
- RESOLUTE ANESTHESIA & PAIN SOLUTIONS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Martin
- Title
- Ceo
- Phone
- (561) 465-2598
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800018707 | FL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6167750002 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | FL | Primary |
Addresses
Primary practice location
7100 W Camino Real
Suite 301
Boca Raton, FL 33433-5510
Mailing address
PO Box 850001
Dept 114
Orlando, FL 32885-0114
Phone (772) 337-7676
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377780400 | Medicaid | FL | |
| CH1211 | Other | FL | RAILROAD MEDICARE |
| 33576 | Other | FL | BCBS OF FLORIDA |
Other names 1
- Resolute Pain Solutions
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Anesthesia of the Treasure Coast
- Anesthesiology Physician
- Stuart, FL
- NPI 1134402712
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440028800000",
"number": "1710928775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850001",
"address_2": "DEPT 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328850114",
"telephone_number": "772-337-7676",
"fax_number": "772-264-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W CAMINO REAL",
"address_2": "SUITE 301",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-465-2598",
"fax_number": "561-465-2599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID FLORIDA ANESTHESIA ASSOCIATES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RESOLUTE ANESTHESIA & PAIN SOLUTIONS, LLC",
"enumeration_date": "2006-06-09",
"last_updated": "2015-08-20",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-465-2598"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800018707",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "6167750002",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377780400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH1211",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "33576",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Resolute Pain Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.