Provider Demographics
NPI:1508524729
Name:ALL KINDS OF PAIN INC
Entity Type:Organization
Organization Name:ALL KINDS OF PAIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-335-8957
Mailing Address - Street 1:115 E LANCASTER RD STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-6689
Mailing Address - Country:US
Mailing Address - Phone:407-378-6686
Mailing Address - Fax:407-378-4633
Practice Address - Street 1:115 E LANCASTER RD STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-6689
Practice Address - Country:US
Practice Address - Phone:407-378-6686
Practice Address - Fax:407-378-4633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1285296798
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-05
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty