Atlantic Spine & Pain Management PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ATLANTIC SPINE & PAIN MANAGEMENT PA

Practice address

1425 Hand Ave Ste L
Ormond Beach, FL 32174-1136

Phone

(386) 615-2345

Fax

(386) 615-2366

NPI assigned

Sep 17, 2007

Last updated

Dec 19, 2007By 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

Dr. Kevin R Free, MD

Title

President

Phone

(386) 615-2345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1891981528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE STE L",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741136",
            "telephone_number": "386-615-2345",
            "fax_number": "386-615-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE STE L",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741136",
            "telephone_number": "386-615-2345",
            "fax_number": "386-615-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SPINE & PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-615-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Cardiovascular & Thoracic Surgeons, LLC
• Atlantic Medical Partners, PL
• Atlantic Mobile Imaging Services
• Atlantic Mobile Imaging Services, Inc.
• Atlantic Podiatry Associates DPM PA
• Amanda Lynn Attri
• Avante at Ormond Beach, Inc.
• Marina Awad
• Allison Aycart
• Ramy Adel Labib Ayoub

• Interventional Pain Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.