Souffrantmd Rehabmed Consultants PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SOUFFRANTMD REHABMED CONSULTANTS PA

Practice address

2795 W New Haven Ave
West Melbourne, FL 32904-3705

Phone

(321) 622-8626

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Jean Guy-Yoma SouffrantNPI 1669891040

Title

MD

Phone

(440) 465-9363

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Guy-Yoma Souffrant, MD

  • Pain Medicine Physician
  • West Melbourne, FL
  • NPI 1669891040

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1790450450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 HUMMINGBIRD DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034772",
            "telephone_number": "440-465-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-622-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUFFRANTMD REHABMED CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "SOUFFRANT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "GUY-YOMA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "440-465-9363"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina M. Smith, P.T.
• Candace Candace L Soliz Soliz, MSW
• Somnomedics LLC
• Ashley M Soto
• Jean Guy-Yoma Souffrant, MD
• Space Coast Chiropractic Inc
• Space Coast Massage Therapy Inc.
• Stanley I Gabe M.D.P.a.
• Ashley Steele
• Brook Ellen Stevens

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.