PAIN CARE MANAGEMENT OF CLEARWATER, LLC (NPI# 1790094829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790094829 |
| Entity Type | Organization |
| Organization Name | PAIN CARE MANAGEMENT OF CLEARWATER, LLC |
| Other Organization Name | PAIN CARE OF CLEARWATER |
| Practice Address |
51 S Main Ave Suite 318 Clearwater FL 33765-3952 |
| Mailing Address |
5036 Dr Phillips Blvd Suite 337 Orlando FL 32819-3310 |
| Practice Telephone | 7275726261 |
| Practice Fax Number | 7274432501 |
| 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 |
PMC1340 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pain Care of Clearwater | Doing Business As Name - Organization |
| Street Address |
51 S MAIN AVE SUITE 318 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952338386 | Gregory Lee Dokka | Chiropractor | 51 S Main Ave, Suite 315, Clearwater, FL 33765-3952 | 2006-06-28 |
| 1598950602 | Catherine Beatrice Lewis | Counselor | 51 S Main Ave, 319, Clearwater, FL 33765-3952 | 2007-09-11 |
| 1689868101 | Jean Marie Callahan Willsie | Counselor | 51 S Main Ave, Suite 319, Clearwater, FL 33765-3952 | 2007-08-28 |
| 1013050939 | Mohammad Hossein Gharavi | Pain Medicine | 51 S Main Ave, Suite 318, Clearwater, FL 33765-3952 | 2007-02-14 |
| 1629117494 | Jodi Lynn Kneer | Social Worker | 51 S Main Ave, Ste 304, Clearwater, FL 33765-3937 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| Find all providers in zip 33765 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477585883 | Clearwater Pain Management Associates | Clinic/Center | 430 Morton Plant St, Suite 210, Clearwater, FL 33756-3398 | 2006-07-07 |
| 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 | CLEARWATER |
| Zip Code | 33765 |
Please comment or provide details below to improve the information on PAIN CARE MANAGEMENT OF CLEARWATER, 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.