PAIN CARE MANAGEMENT OF ORLANDO, LLC (NPI# 1487964524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487964524 |
| Entity Type | Organization |
| Organization Name | PAIN CARE MANAGEMENT OF ORLANDO, LLC |
| Other Organization Name | PAIN CARE FIRST |
| Practice Address |
13650 W Colonial Dr Suite 100 Winter Garden FL 34787-3993 |
| Mailing Address |
5036 Dr Phillips Blvd Suite 337 Orlando FL 32819-3310 |
| Practice Telephone | 4079050012 |
| Practice Fax Number | 4079054988 |
| Mailing Telephone | 3212514462 |
| Mailing Fax Number | 8884691872 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | MR. C R LONG (MANAGING MEMBER) |
| Authorized Official Telephone | 3212514462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
PMC1457 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pain Care First | Doing Business As Name - Organization |
| Street Address |
13650 W COLONIAL DR SUITE 100 |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-3993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770974933 | Renee David | Case Manager/Care Coordinator | 13650 W Colonial Dr, Winter Garden, FL 34787-3969 | 2015-02-10 |
| 1922412725 | Links Targeted Case Management LLC | Community/Behavioral Health | 13650 W Colonial Dr, Suite 150e, Winter Garden, FL 34787-3969 | 2014-06-19 |
| 1861803280 | Jonathan Blue | Case Manager/Care Coordinator | 13650 W Colonial Dr, Suite 150f, Winter Garden, FL 34787-3969 | 2014-05-20 |
| 1093058588 | Harmony Brown | Case Manager/Care Coordinator | 13650 W Colonial Dr, Suite 150e, Winter Garden, FL 34787-3969 | 2013-04-03 |
| 1437491735 | Links Targeted Case Management Services, LLC | Case Management | 13650 W Colonial Dr, Suite 150e, Winter Garden, FL 34787-3969 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
Please comment or provide details below to improve the information on PAIN CARE MANAGEMENT OF ORLANDO, LLC.
| 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.