Florida Spine and Pain, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME126127 Issued in FL

Legal business name

FLORIDA SPINE AND PAIN, LLC

Practice address

1400 N US Hwy 441
Ste 536
Lady Lake, FL 32159-8986

Phone

(352) 775-2826

Fax

(352) 547-4011

NPI assigned

Oct 10, 2016

Last updated

Mar 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vijay Gutti Babu, M.D.

Title

Ceo

Phone

(352) 775-2826

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GAHEAD
• FHIR API: https://fhir4.healow.com/fhir/r4/JBADBD

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488585600000",
    "number": "1801346184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HWY 441",
            "address_2": "STE 536",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598986",
            "telephone_number": "352-775-2826",
            "fax_number": "352-547-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HWY 441",
            "address_2": "STE 536",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598986",
            "telephone_number": "352-775-2826",
            "fax_number": "352-547-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SPINE AND PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-03-04",
        "status": "A",
        "authorized_official_last_name": "BABU",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "GUTTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-775-2826",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME126127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Medical Associates LLC (VIPcare)
• Florida Pain & Rehabilitation Institute Inc (Florida Pain and Rehabilitation Center)
• Florida Pain & Rehabilitation Institute Inc (Central Florida Pain Management)
• Florida Pain & Rehabilitation Institute Inc (National Pain Institute)
• Florida Rehabilitation Specialist, LLC
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Shannon Floyd, DPM
• Richard Fontanez Aldea, MD
• Foot and Ankle Center of Ocala, PA

• Pain Medicine (Anesthesiology) Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.