ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC
ADVANCED PAIN AND SPINE INSTITUTE · Anesthesiology (Pain Medicine)

Address: 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117

ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC (NPI# 1386201960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386201960
Entity Type Organization
Organization Name ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC
Other Organization Name ADVANCED PAIN AND SPINE INSTITUTE (Doing Business As Name)
Practice Address 1301 Plantation Island Dr S Ste 302a
St Augustine
FL 32080-3117
Practice Telephone 3129524422
Mailing Address 1301 Plantation Island Dr S Ste 302a
St Augustine
FL 32080-3117
Mailing Telephone 9044619330
Mailing Fax Number 9044619330
Enumeration Date 2019-05-20
Last Update Date 2019-08-05
Authorized Official Telephone 3129524422
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
193400000X MULTIPLE SINGLE SPECIALTY GROUP Allopathic & Osteopathic Physicians
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
193400000X MULTIPLE SINGLE SPECIALTY GROUP Allopathic & Osteopathic Physicians

Other Provider Identifiers

Identifier State Issuer Type Code
ME140144 FL MEDICAL LICENSE Other

Other Provider/Organization Names

Other Name Type Code
Advanced Pain and Spine Institute Doing Business As Name

Office Location

Street Address 1301 PLANTATION ISLAND DR S STE 302A
City ST AUGUSTINE
State FL
Zip Code 32080-3117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558771238 Adnan Faruqi Anesthesiology - Pain Medicine 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 2014-05-02
1770108706 Ansaarie Cardiac & Endovascular Center of Excellence Internal Medicine - Cardiovascular Disease 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 2020-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386991446 Marisol Bolivar · Marisol Carbonell Dentist - Pediatric Dentistry 1301 Plantation Island Dr S Ste 305, St Augustine, FL 32080-3117 2012-08-08
1699708693 Pain Management Specialists of North Florida P A Anesthesiology - Pain Medicine 1301 Plantation Island Dr S Ste 301a, St Augustine, FL 32080-3117 2006-07-10

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1659991925 Healthy Minds Psychological Services, LLC Psychologist - Clinical 825 Kalli Creek Lane, Saint Augustine, FL 32080 2020-04-16
1124376462 Erika Motes Mills · Erika Motes Arnold Counselor - Mental Health 721 A1a Beach Blvd, Ste. 7, St. Augustine, FL 32080 2012-08-16
1306176037 Barros Family Healthcare Pa Clinic/Center - Primary Care 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 2009-12-31
1700921020 Brooke Michelle Perussina · Brooke Michelle Mcrae Physician Assistant - Medical 103 Anastasia Blvd, St Augustine, FL 32080 2007-02-21
1205159423 Chesapeake Hyperbaric Lc Clinic/Center - Multi-Specialty 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 2010-03-02
1962947325 Joseph Costine Behavior Technician 205 7th St. Apt.b, St. Augustine, FL 32080 2016-12-21
1205207420 Ana Greenberger Nurse Practitioner - Family 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 2015-10-14
1114034709 Jawad Samir Farhat Internal Medicine 1301 Plantation Island Drive, Suite 106a, Saint Augustine, FL 32080 2006-08-23
1306432372 Christy Longo Pharmacist 1920 A1a S, St Augustine, FL 32080 2020-12-14
1275720286 Gloria A. Johnson Social Worker - Clinical 3624 Rosewood St., Saint Augustine Beach, FL 32080 2007-10-03
Find all in zip 32080

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346710571 Florida Institute of Pain Medicine LLC · Florida Coast Pain and Spine Center Anesthesiology - Pain Medicine 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 2018-11-30
1720302946 First Coast Pain and Spine Center LLC Anesthesiology - Pain Medicine 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 2010-03-17
1265659460 Joseph Adam Cartwright Anesthesiology - Pain Medicine 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 2007-04-19
1699708693 Pain Management Specialists of North Florida P A Anesthesiology - Pain Medicine 1301 Plantation Island Dr S Ste 301a, St Augustine, FL 32080-3117 2006-07-10
1235184805 Eduardo Dieguez Jr. Anesthesiology - Pain Medicine 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 2006-05-23
1558771238 Adnan Faruqi Anesthesiology - Pain Medicine 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 2014-05-02
1932423563 First Coast Pain Management Anesthesiology - Pain Medicine 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 2010-03-25
1376782920 James E Freidenstein Anesthesiology - Pain Medicine 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 2009-02-05
1851587406 Eduardo Dieguez Jr Md Pa Anesthesiology - Pain Medicine 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 2007-09-18
1104903160 Lighthouse Pain and Spine Specialists Anesthesiology - Pain Medicine 300 Health Park Blvd, Suite 5008, St Augustine, FL 32086-3707 2006-11-01
Find all providers in ST AUGUSTINE

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City ST AUGUSTINE
Zip Code 32080

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Dataset Information

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.