KORUNDA MEDICAL, LLC (NPI# 1467970038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467970038 |
| Entity Type | Organization |
| Organization Name | KORUNDA MEDICAL, LLC |
| Other Organization Name | KORUNDA PAIN MANAGEMENT CENTER |
| Practice Address |
8340 Collier Blvd Ste 205 Naples FL 34114-3589 |
| Mailing Address |
Po Box 110820 Naples FL 34108-0114 |
| Practice Telephone | 2395912803 |
| Practice Fax Number | 2395945637 |
| Mailing Telephone | (239) 591-2803 |
| Mailing Fax Number | 2395945637 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | ZDENKO KORUNDA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2395912803 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | KORUNDA MEDICAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS11178 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Korunda Pain Management Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285152843 | Korunda Medical, LLC | Pain Medicine | 6101 Pine Ridge Rd # Desk1213, Naples, FL 34119-3900 | 2017-09-05 |
| 1396263877 | Korunda Medical, LLC | Physical Medicine & Rehabilitation | 661 Goodlette Frank Rd Ste 103, Naples, FL 34102-5609 | 2017-09-05 |
| 1548788292 | Korunda Medical, LLC | Pain Medicine | 26741 Dublin Woods Cir, Bonita Springs, FL 34135-7272 | 2017-09-01 |
| 1609270610 | Korunda Medical, LLC | Clinical Medical Laboratory | 4513 Executive Drive, Unit 101, Naples, FL 34119 | 2014-10-20 |
| 1609056282 | Korunda Medical, LLC | Family Medicine | 4513 Executive Dr, Naples, FL 34119-8884 | 2007-11-12 |
| Street Address |
8340 COLLIER BLVD STE 205 |
| City | NAPLES |
| State | FL |
| Zip Code | 34114-3589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164067724 | Ava M Rocks | Pharmacist | 6605 Collier Blvd, Naples, FL 34114 | 2019-11-07 |
| 1154862852 | Chaveli Beltran | Behavior Technician | 9320 Marino Cir Apt 101, Naples, FL 34114 | 2017-03-14 |
| 1831559400 | Juan Hilario Ricard Valdez Sr. | Specialist/Technologist, Other | 2094 Rookery Bay Dr Apt 2805, Naples, FL 34114 | 2016-02-25 |
| 1487028502 | Natura Pharmacy Inc | Pharmacy | 3825 Beck Blvd #701, Naples, FL 34114 | 2015-12-01 |
| 1861773533 | Alexandra Grace | Internal Medicine | 8340 Collier Blvd Ste 201, Naples, FL 34114 | 2011-09-07 |
| 1043453616 | Sarah Jane Deleon Mansson | Internal Medicine | 8340 Collier Blvd Ste 305, Naples, FL 34114 | 2009-04-13 |
| 1336387976 | Judy Farace | Physical Therapist | 140 Eveningstar Cay, Naples, FL 34114 | 2009-02-03 |
| 1316197254 | Martha Doniaz | Massage Therapist | 1825 Tamiami Trai, N, Naples, FL 34114 | 2008-09-29 |
| 1497883698 | Wal-mart Stores East, L.p. | Technician/Technologist | 6650 Collier Blvd., Naples, FL 34114 | 2007-03-01 |
| 1295802445 | Collier Hma Physician Management, Inc | Family Medicine | 8340 Collier Boulevard, Naples, FL 34114 | 2006-11-30 |
| Find all providers in zip 34114 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396263877 | Korunda Medical, LLC | Physical Medicine & Rehabilitation | 661 Goodlette Frank Rd Ste 103, Naples, FL 34102-5609 | 2017-09-05 |
| 1205151750 | Alexander John Martinez | Physical Medicine & Rehabilitation | 5668 Strand Ct, Naples, FL 34110-3343 | 2010-03-27 |
| 1477668291 | Pain Management Center of Naples LLC | Physical Medicine & Rehabilitation | 4760 Tamiami Trl N Ste 27, Naples, FL 34103-3057 | 2006-08-20 |
| 1841679461 | E Sean Kelley Md LLC | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2015-05-28 |
| 1679856710 | Ravi Mirpuri | Physical Medicine & Rehabilitation | 4513 Executive Dr Ste 101, Naples, FL 34119 | 2011-09-26 |
| 1508045048 | Anchor Health Centers Pa | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2007-11-01 |
| 1164537973 | Prathima Moorthy | Physical Medicine & Rehabilitation | 4760 Tamiami Trail North, Suite 27, Naples, FL 34109-3884 | 2006-08-20 |
| 1164461398 | Edward S Kelley | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Ste 203, Naples, FL 34102-5616 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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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.