Organization Active NPI

Florida DRX, LLC

  • Interventional Pain Medicine Physician
  • Lecanto, FL
National Provider Identifier
1912938648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
FLORIDA DRX, LLC
Practice address
520 N Lecanto Hwy
Lecanto, FL 34461-8547
Phone
(352) 527-9444
Fax
(352) 746-7829
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Nadeem HashimNPI 1184654808
Title
Member/Manager
Phone
(352) 527-6699

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 Primary

Addresses

Primary practice location

520 N Lecanto Hwy
Lecanto, FL 34461-8547

Mailing address

70 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-6699

National Provider Directory

National Provider Directory

Locations

520 N Lecanto Hwy
#200
Lecanto, FL 34461
Phone (352) 527-9444

520 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-9444

Practitioners & affiliated clinicians

Practitioners 3

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912938648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619190",
            "telephone_number": "352-527-6699",
            "fax_number": "352-527-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-527-9444",
            "fax_number": "352-746-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DRX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASHIM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "NADEEM",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "352-527-6699"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.