Southeast Anesthesia and Pain Medicine LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME86898 Issued in FL

Legal business name

SOUTHEAST ANESTHESIA AND PAIN MEDICINE LLC

Practice address

1110 Nikki View Dr
Brandon, FL 33511-4868

Phone

(813) 699-4005

NPI assigned

Jan 25, 2008

Last updated

Nov 5, 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

Hui Zhu, MD, , MPH

Title

Managing Member

Phone

(813) 699-4005

Specialties & licenses 2

Addresses

Locations

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.

• Li Ma, MD, PHD

  • Anesthesiology Physician
  • Lutz, FL
  • NPI 1053415638
  NPD (past)

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1881871564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335480158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114868",
            "telephone_number": "813-699-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ANESTHESIA AND PAIN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "HUI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-699-4005",
        "authorized_official_credential": "MD, , MPH"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME86898",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME86898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lauren Sotomayor
• Suppraja Soundarrajan, M.B.B.S
• South Brandon Imaging LLC (Total Imaging of Robertson)
• South Brandon Imaging LLC (Total Imaging Robertson)
• South Shore Cardiovascular Associates Inc
• Southeast Radiology Associates PA
• Southern Live in (southern live in of brandon)
• Southern Live in Inc (Southern Live-in of Brandon)
• Kelly Sue Southmayd, MS, CCC-SLP
• Southshore Homekare

• Pain Medicine (Anesthesiology) Physician in Brandon, FL
• Providers in Brandon, 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 Nov 5, 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.