Organization Active NPI

Total Pain and Spine Care of Florida LLC

  • Interventional Pain Medicine Physician
  • Davenport, FL
National Provider Identifier
1922612373
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
TOTAL PAIN AND SPINE CARE OF FLORIDA LLC
Practice address
2310 North Blvd W Ste a
Davenport, FL 33837-8988
Phone
(863) 732-7246
Fax
(863) 256-2520
NPI assigned
Sep 3, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Dr. Neal Shah, MDNPI 1164663332
Title
Owner
Phone
(863) 732-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

2310 North Blvd W Ste a
Davenport, FL 33837-8988

Mailing address

3818 W Vasconia St
Tampa, FL 33629-8630
Phone (863) 732-7246

National Provider Directory

National Provider Directory

Locations

2310 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 732-7246

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1922612373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 W VASCONIA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298630",
            "telephone_number": "863-732-7246",
            "fax_number": "863-256-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NORTH BLVD W STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378988",
            "telephone_number": "863-732-7246",
            "fax_number": "863-256-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PAIN AND SPINE CARE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-732-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.