ADVANCED PAIN CLINIC PA (NPI# 1063689511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063689511 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN CLINIC PA |
| Practice Address |
3901 E Colonial Dr Orlando FL 32803-5245 |
| Mailing Address |
505 W Vine St 301 Kissimmee FL 34741-4123 |
| Practice Telephone | 4079359404 |
| Mailing Telephone | 4079359404 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. VRAJLAL L RAJYAGURU (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4079359404 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME0066759 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 377046000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861470049 | Advanced Pain Clinic Pa | Anesthesiology | 505 W Vine St, Suite 301, Kissimmee, FL 34741-4156 | 2006-01-06 |
| 1972770428 | Advanced Pain Clinic Pa | Anesthesiology | 82 Maxcy Plaza Cir, Haines City, FL 33844-2488 | 2008-05-14 |
| Street Address |
3901 E COLONIAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470793 | Naomi Lois Adams | Pharmacist | 3901 E Colonial Dr, Suite A, Orlando, FL 32803-5245 | 2005-10-13 |
| 1922608280 | Precision Medicine and Wellness Center, LLC | Homeopath | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2020-10-27 |
| 1699204560 | Christopher Lee Lacey | Pharmacist | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2017-06-05 |
| 1346616786 | Indira Beepin Jamnadas | Pharmacist | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2015-08-20 |
| 1740515758 | Gretty Hernandez | Licensed Practical Nurse | 3901 E Colonial Dr, Suite E, Orlando, FL 32803-5245 | 2009-10-08 |
| 1992932008 | Florida Ambulatory Infusion Centers, Inc. | Clinic/Center | 3901 E Colonial Dr, Suite C2, Orlando, FL 32803-5245 | 2009-06-16 |
| 1114183100 | Florida Ambulatory Infusion Centers, Inc. | Clinic/Center | 3901 E Colonial Dr, Suite C2, Orlando, FL 32803-5245 | 2008-07-30 |
| 1043351547 | Joseph Tad Davis | Pharmacist | 3901 E Colonial Dr, Suite A, Orlando, FL 32803-5245 | 2007-02-09 |
| 1811967136 | Center for Memory Disorders, Inc. | Clinical Neuropsychologist | 3901 E Colonial Dr, Suite E, Orlando, FL 32803-5245 | 2006-01-26 |
| 1720078595 | Hhcs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 3901 E Colonial Dr, Suite 'c', Orlando, FL 32803-5245 | 2005-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851576854 | Taufiq Ahmed | Anesthesiology | 1736 33rd St Ste 100, Orlando, FL 32839 | 2008-01-08 |
| 1013025162 | Pain Center of Central Fl Pa | Anesthesiology | 3861 Oakwater Cir Ste 2, Orlando, FL 32806-6258 | 2006-08-28 |
| 1760417786 | Richard L Smith | Anesthesiology | 138 E Gore St, Orlando, FL 32806-1268 | 2006-07-11 |
| 1821037193 | Richard S Krugman | Anesthesiology | 8609 Forest City Rd, Orlando, FL 32810 | 2006-06-05 |
| 1144292913 | Monica Lynn Mcphail-pruitt | Anesthesiology | 6903 W Colonial Dr, Orlando, FL 32818-6829 | 2006-02-06 |
| 1184987323 | Pain Physicians of Central Florida, P.a. | Anesthesiology | 7328 Stonerock Cir, Orlando, FL 32819-8000 | 2012-06-22 |
| 1548557580 | Sandeep V Pillarisetty | Anesthesiology | 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835-5706 | 2011-06-28 |
| 1609043272 | Southwest Anesthesia and Pain Management Pa | Anesthesiology | 5979 Vineland Rd Ste 207, Orlando, FL 32819-7855 | 2008-05-13 |
| 1528257524 | Cesar Augusto Lassalle-nieves | Anesthesiology | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2007-10-16 |
| 1639370398 | Ricardo Nieves-ramos | Anesthesiology | 7350 Sandlake Commons Blvd, Suite 3322, Orlando, FL 32819-8040 | 2007-05-30 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.