Organization Active NPI

Pain Management Specialists of North Florida P a

  • Interventional Pain Medicine Physician
  • East Palatka, FL
National Provider Identifier
1881935567
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME51281 Issued in FL
Legal business name
PAIN MANAGEMENT SPECIALISTS OF NORTH FLORIDA P A
Practice address
199 S US Highway 17 Ste C
East Palatka, FL 32131-6071
Phone
(904) 501-3954
Fax
(904) 501-3954
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Raul A Monzon, MDNPI 1508885286
Title
President
Phone
(904) 460-9555

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 ME51281 FL Primary

Addresses

Primary practice location

199 S US Highway 17 Ste C
East Palatka, FL 32131-6071

Mailing address

1093 A1A Beach Blvd
PMB 390
St Augustine, FL 32080-6733
Phone (904) 460-9555

National Provider Directory

National Provider Directory

Locations

6050 Saint Johns Ave
Ste 4
Palatka, FL 32177
Phone (386) 325-4699

205 Zeagler Dr
Ste 202
Palatka, FL 32177
Phone (386) 325-3115

1301 Plantation Island Dr S
Ste 301A
Saint Augustine, FL 32080
Phone (904) 460-9555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1881935567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 A1A BEACH BLVD",
            "address_2": "PMB 390",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806733",
            "telephone_number": "904-460-9555",
            "fax_number": "904-460-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S US HIGHWAY 17 STE C",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321316071",
            "telephone_number": "904-501-3954",
            "fax_number": "904-501-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT SPECIALISTS OF NORTH FLORIDA P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-460-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME51281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.