Pain Management Physicians of South Florida, P.L.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME 66192 Issued in FL

Legal business name

PAIN MANAGEMENT PHYSICIANS OF SOUTH FLORIDA, P.L.

Practice address

8880 Royal Palm Blvd
Suite 103
Coral Springs, FL 33065-5727

Phone

(954) 975-8233

Fax

(954) 974-2335

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Andrew Jay Goldberg, M.D.

Title

President

Phone

(954) 605-3724

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 2

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

• Tse C Lee, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Coral Springs, FL
  • NPI 1922259928
  Medicare reassignment Care Compare group
• Kavita Sharma, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Coral Springs, FL
  • NPI 1750578035
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1922037290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 NW 96TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330761815",
            "telephone_number": "954-605-3724",
            "fax_number": "954-255-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 ROYAL PALM BLVD",
            "address_2": "SUITE 103",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655727",
            "telephone_number": "954-975-8233",
            "fax_number": "954-974-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT PHYSICIANS OF SOUTH FLORIDA, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-605-3724",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME 66192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "ME 66192",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idequiz Paez, RD, LDN
• Eloisa Lorreine Pagatpatan
• Hariet Agustino Pagcaliwangan, RPT
• Michelle Eileen Page
• Pain Center P a
• Braz Paiva
• Palana Dental Care
• Palm Beach County Fire Fighters Health Clinic LLC
• Palm Beach Foot & Ankle Inc
• Sherene Palmer

• Pain Medicine (Anesthesiology) Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.