Provider Demographics
NPI:1629307954
Name:CENTRAL FLORIDA PAIN MANAGEMENT CENTERS LLC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA PAIN MANAGEMENT CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSADZINSKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-668-7878
Mailing Address - Street 1:2955 ENTERPRISE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-2711
Mailing Address - Country:US
Mailing Address - Phone:386-668-7878
Mailing Address - Fax:386-668-7272
Practice Address - Street 1:2955 ENTERPRISE RD
Practice Address - Street 2:SUITE B
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-2711
Practice Address - Country:US
Practice Address - Phone:386-668-7878
Practice Address - Fax:386-668-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty