INTERVENTIONAL PAIN LLC (NPI# 1861893448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861893448 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN LLC |
| Practice Address |
2031 Palm Beach Lakes Blvd Ste 100 West Palm Beach FL 33409-6525 |
| Practice Telephone | 5616819808 |
| Practice Fax Number | 5612464018 |
| Mailing Telephone | 5616819808 |
| Mailing Fax Number | 5612464018 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | JANE E BISTLINE MD (PRESIDENT) |
| Authorized Official Telephone | 5616819808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME64772 | FL | Other Service Providers |
| Street Address |
2031 PALM BEACH LAKES BLVD STE 100 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265902 | Morgan Tantillo | Pain Medicine | 2031 Palm Beach Lakes Blvd Ste 100, West Palm Beach, FL 33409-6525 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831608983 | Jacob Sharff | Specialist | 214 Lakeland Dr, West Palm Beach, FL 33405-2312 | 2017-09-20 |
| 1134500945 | Complete Medical Care Services | Specialist | 10130 Northlake Blvd Ste 214341, West Palm Beach, FL 33412-1101 | 2015-06-17 |
| 1194103846 | Renee Whitelock | Specialist | 5511 N Flagler Dr, West Palm Beach, FL 33407-2613 | 2015-05-14 |
| 1275927147 | James and Joann Francis LLC | Specialist | 911 Village Blvd Ste 807, West Palm Beach, FL 33409-1938 | 2015-03-27 |
| 1366834939 | Palm Beach Specialists Inc | Specialist | 5752 Okeechobee Blvd, West Palm Beach, FL 33417-4343 | 2015-02-19 |
| 1427392141 | Multispecialty Group, LLC | Specialist | 2511 S Dixie Hwy, Suite B, West Palm Beach, FL 33401-7917 | 2012-11-19 |
| 1487916110 | Robert T. Hayden M.d.,p.a. | Specialist | 1500 N Dixie Hwy Ste 307, West Palm Beach, FL 33401-2717 | 2012-06-08 |
| 1164705729 | Therapeutic Services of The Palm Bea | Specialist | 2200 North Florida Mango Road, Suite 201, West Palm Beach, FL 33409-6464 | 2011-09-21 |
| 1275826489 | John H. Merey M.d., P.a. | Specialist | 5405 Okeechobee Blvd Ste 302b, West Palm Beach, FL 33417-4554 | 2011-05-20 |
| 1942449061 | Imis Pllc | Specialist | 1411 N Flagler Dr Ste 6400, West Palm Beach, FL 33401-3425 | 2009-02-12 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on INTERVENTIONAL PAIN 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.