Mua of Charlotte County LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

MUA OF CHARLOTTE COUNTY LLC

Practice address

1400 Education Way
PT Charlotte, FL 33948-1000

Phone

(941) 625-9800

NPI assigned

Oct 20, 2009

Last updated

Nov 3, 2009By 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

Kevin M. Van Nostrand, DC

Title

Authorized Official

Phone

(941) 625-9800

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1821324211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864602",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EDUCATION WAY",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481000",
            "telephone_number": "941-625-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUA OF CHARLOTTE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "VAN NOSTRAND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "941-625-9800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kamrani Torkestani, MD
• Joan O Kemsley, PA
• Brian J Kerbyson, D.O.
• Lionel J Lewis
• Grace M Moran, MA, LMHC, CVRS
• Navix Imaging Inc (SW Florida Regional Img Center - AMC)
• Navix Imaging Inc (SW Florida Regional Imaging Ctr MIC)
• Nurse on Call, LLC (HCA Florida Healthcare at Home)
• Stephen Petrofsky, D.P.M.
• Karen V Ray, M.D

• Interventional Pain Medicine Physician in PT Charlotte, FL
• Providers in PT Charlotte, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.