Active NPI
Fix Your Pain LLC
- Interventional Pain Medicine Physician
- Clermont, FL
National Provider Identifier
1952255895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- FIX YOUR PAIN LLC
- Practice address
- 17075 Cagan Ridge Blvd Ste 101
Clermont, FL 34714-9619 - Phone
- (352) 717-4377
- NPI assigned
- Feb 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Jackson
- Title
- Vice President
- Phone
- (352) 717-4377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
17075 Cagan Ridge Blvd Ste 101
Clermont, FL 34714-9619
Mailing address
6043 US Hwy 1792 N Suite 339
Davenport, FL 33896
Phone (352) 717-4377
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1952255895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 US HWY 1792 N SUITE 339",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33896",
"telephone_number": "352-717-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 CAGAN RIDGE BLVD STE 101",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347149619",
"telephone_number": "352-717-4377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIX YOUR PAIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "REBEKAH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "352-717-4377"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.