KENNEDY PAIN CLINIC GROUP LLC (NPI# 1821492695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821492695 |
| Entity Type | Organization |
| Organization Name | KENNEDY PAIN CLINIC GROUP LLC |
| Practice Address |
5255 Office Park Blvd Suite 107 Bradenton FL 34203 |
| Practice Telephone | 9417512345 |
| Mailing Telephone | 9417512345 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | NANCIE JEAN BRENES (OWNER , PHYSICIAN) |
| Authorized Official Telephone | 9417512345 |
| Authorized Official Credential | AP, DOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AP2026 | FL | Other Service Providers |
| Street Address |
5255 OFFICE PARK BLVD SUITE 107 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407872849 | Federico A Frias | Pediatrics | 5255 Office Park Blvd, Suite 110, Bradenton, FL 34203-3443 | 2006-07-15 |
| 1538464870 | Heather H Lucero | Nurse Practitioner | 5255 Office Park Blvd, Suite207, Bradenton, FL 34203-3443 | 2011-01-18 |
| 1881810091 | Vivian Lourdes Acebal | Pediatrics | 5255 Office Park Blvd, Bradenton, FL 34203 | 2007-04-17 |
| 1861509119 | Francisco J Espinoza Sr. | Dentist | 5255 Office Park Blvd, Suite 112, Bradenton, FL 34203-3443 | 2006-08-24 |
| 1851317218 | Federico A. Frias Md Pa | Pediatrics | 5255 Office Park Blvd, Suite 110, Bradenton, FL 34203-3443 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346219 | Christopher Kastner | Acupuncturist | 623 39th St W Ste 1, Bradenton, FL 34205-2457 | 2020-11-06 |
| 1972125508 | Mariana Tamayo | Acupuncturist | 1109 26th Ave W, Bradenton, FL 34205-7057 | 2020-05-18 |
| 1730747676 | Rachel Leah Siditsky | Acupuncturist | 6124 State Road 70 E, Bradenton, FL 34203-9712 | 2019-06-05 |
| 1285198861 | Jeanette R Miraglia | Acupuncturist | 5190 26th St W Ste G, Bradenton, FL 34207-2200 | 2019-01-28 |
| 1245749837 | Amanda Lynne Curl | Acupuncturist | 514 27th St W, Bradenton, FL 34205-4143 | 2017-09-26 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1386006443 | Brenda Ley | Acupuncturist | 5325 Lena Rd, Bradenton, FL 34211-9442 | 2016-03-27 |
| 1760843106 | Life Force Academy, Inc. | Acupuncturist | 3918 51st St E, Bradenton, FL 34208-6862 | 2016-03-13 |
| 1710347281 | Family Acupuncture and Oriental Medicine | Acupuncturist | 5702 Manatee Ave W, Suite A, Bradenton, FL 34209-2539 | 2016-02-26 |
| 1144657974 | Lakewood Ranch Acupuncture and Wellness | Acupuncturist | 11061 Gatewood Dr, Unit 103, Bradenton, FL 34211-4943 | 2013-10-12 |
| Find all providers in BRADENTON | ||||
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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.