Provider Demographics
NPI:1174023345
Name:ORLANDO PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:ORLANDO PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENTIU
Authorized Official - Middle Name:
Authorized Official - Last Name:POPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-925-0277
Mailing Address - Street 1:719 BUTTERNUT DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2281
Mailing Address - Country:US
Mailing Address - Phone:201-925-0277
Mailing Address - Fax:888-766-8193
Practice Address - Street 1:660 PALM SPRINGS DR STE A
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7864
Practice Address - Country:US
Practice Address - Phone:407-339-7143
Practice Address - Fax:888-766-8193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL135793207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty