Active NPI
Premier Pain Care of Florida, Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Delray Beach, FL
National Provider Identifier
1891463386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PREMIER PAIN CARE OF FLORIDA, INC
- Practice address
- 701 SE 6TH Ave
Delray Beach, FL 33483-5186 - Phone
- (570) 872-9800
- NPI assigned
- Aug 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mikhail Artamonov, MD
- Title
- MD Owner
- Phone
- (570) 872-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
701 SE 6TH Ave
Delray Beach, FL 33483-5186
Mailing address
231 Friemann Lane
Sciota, PA 18354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME100837 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
701 SE 6th Ave
Delray Beach, FL 33483
Phone (570) 872-9800
701 SE 6th Ave
Ste 203B
Delray Beach, FL 33483
Phone (570) 872-9800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1891463386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 FRIEMANN LANE",
"city": "SCIOTA",
"state": "PA",
"postal_code": "18354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SE 6TH AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835186",
"telephone_number": "570-872-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PAIN CARE OF FLORIDA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-31",
"last_updated": "2023-03-07",
"certification_date": "2021-07-23",
"status": "A",
"authorized_official_last_name": "ARTAMONOV",
"authorized_official_first_name": "MIKHAIL",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "570-872-9800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME100837",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.