Organization Active NPI

Mid Florida Anesthesia Associates, Inc.

Doing business as Resolute Pain Solutions

  • Pain Medicine (Anesthesiology) Physician
  • Boca Raton, FL
National Provider Identifier
1710928775
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
RESOLUTE ANESTHESIA & PAIN SOLUTIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
377780400MedicaidFL
CH1211OtherFLRAILROAD MEDICARE
33576OtherFLBCBS OF FLORIDA

Other names 1

  • Resolute Pain Solutions Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.