Interventional Pain LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME64772 Issued in FL

Legal business name

INTERVENTIONAL PAIN LLC

Practice address

2031 Palm Beach Lakes Blvd Ste 100
West Palm Beach, FL 33409-6525

Phone

(561) 681-9808

Fax

(561) 246-4018

NPI assigned

Sep 15, 2014

Last updated

Sep 15, 2014By 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

Jane E Bistline MD

Title

President

Phone

(561) 681-9808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1861893448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 PALM BEACH LAKES BLVD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096525",
            "telephone_number": "561-681-9808",
            "fax_number": "561-246-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 PALM BEACH LAKES BLVD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096525",
            "telephone_number": "561-681-9808",
            "fax_number": "561-246-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "BISTLINE MD",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-681-9808"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME64772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Healthcare of Treasure Coast, Inc. (Interim Healthcare of Palm Beach)
• Interim Homestyle Services of the Treasure Coast
• Intermed Services, PA
• Internal Medicine Associates of the Palm Beaches PA
• Internal Medicine Group
• Interventional Rehabilitation of South Florida, Inc
• Interventional Rehabilitation of South Florida, Inc
• Interventional Rehabilitation of South Florida, Inc.
• Interventional Rehabilitation of South Florida, Inc.
• Interventional Rehabilitation of South Florida, Inc.

• Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.