Organization Active NPI

Pain and Wellness Physicians of South Florida Inc

  • Interventional Pain Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1861735011
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME0092070 Issued in FL
Legal business name
PAIN AND WELLNESS PHYSICIANS OF SOUTH FLORIDA INC
Practice address
801 Meadows Rd
Suite 110
Boca Raton, FL 33486-2346
Phone
(561) 347-6262
Fax
(561) 347-6264
NPI assigned
Apr 5, 2013
Last updated
Apr 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Edgardo Galante, M.DNPI 1790730083
Title
Medical Director
Phone
(561) 347-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X ME0092070 FL Primary

Addresses

Primary practice location

801 Meadows Rd
Suite 110
Boca Raton, FL 33486-2346

Mailing address

801 Meadows Rd
Suite 110
Boca Raton, FL 33486-2346
Phone (561) 347-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131101001291 FL Part B Supplier - Clinic/Group Practice 1456586221 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL
O20140327001836 FL DME Supplier - Physician - General Practice 1456586221 Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

600 S Dixie Hwy
Ste 101
Boca Raton, FL 33432
Phone (561) 347-6262

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1861735011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-347-6262",
            "fax_number": "561-347-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-347-6262",
            "fax_number": "561-347-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND WELLNESS PHYSICIANS OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "GALANTE",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-347-6262",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0092070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 5, 2013; 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.