Advance Pain Management of Florida Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

4416426 Issued in FL

Legal business name

ADVANCE PAIN MANAGEMENT OF FLORIDA INC

Practice address

9526 NE 2ND Ave
Suite #101
Miami Shores, FL 33138-2750

Phone

(305) 694-3775

Fax

(305) 694-3697

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Christopher G. Venoryes, MD

Title

President/Owner

Phone

(305) 694-3775

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hisham Abbas Kassem, MD

  • Pain Medicine (Anesthesiology) Physician
  • Miami Shores, FL
  • NPI 1255868246
  Medicare reassignment NPD
• Christopher George Vendryes, MD

  • Pain Medicine Physician
  • Miami Shores, FL
  • NPI 1205986916
  Medicare reassignment
• Michael Johan Schou, MD

  • Pain Medicine Physician
  • Miami, FL
  • NPI 1023168739

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1821292996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "SUITE #101",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-694-3775",
            "fax_number": "305-694-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 NE 2ND AVE",
            "address_2": "SUITE #101",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382750",
            "telephone_number": "305-694-3775",
            "fax_number": "305-694-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PAIN MANAGEMENT OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "VENORYES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-694-3775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "4416426",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "4416426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261858300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Miami Shores, FL
• Providers in Miami Shores, 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 Nov 23, 2016; 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.