Provider Demographics
NPI:1639665219
Name:FLPMI, LLC
Entity Type:Organization
Organization Name:FLPMI, LLC
Other - Org Name:FLORIDA PAIN MANAGEMENT INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHESTACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-331-5050
Mailing Address - Street 1:4675 LINTON BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6615
Mailing Address - Country:US
Mailing Address - Phone:561-331-5050
Mailing Address - Fax:561-331-3711
Practice Address - Street 1:4675 LINTON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6615
Practice Address - Country:US
Practice Address - Phone:561-331-5050
Practice Address - Fax:561-331-3711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty