Florida Regional Pain Management, PA

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

ME66980 Issued in FL

Legal business name

FLORIDA REGIONAL PAIN MANAGEMENT, PA

Practice address

8259 Bayberry Rd
Jacksonville, FL 32256-7432

Phone

(904) 737-7246

Fax

(904) 737-2700

NPI assigned

Oct 9, 2008

Last updated

Feb 16, 2011By 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. Shonith Manohar, MDNPI 1912967670

Title

President

Phone

(904) 737-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Shonith Manohar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1912967670
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1912158783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567432",
            "telephone_number": "904-737-7246",
            "fax_number": "904-737-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8259 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567432",
            "telephone_number": "904-737-7246",
            "fax_number": "904-737-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA REGIONAL PAIN MANAGEMENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "MANOHAR",
        "authorized_official_first_name": "SHONITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "ME66980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florida Sleep Solutions Inc
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• Florida Southern Assisted Living LLC (Ingleside Retirement Home)
• Florida Sports Medicine Institute Inc

• Pain Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.