Provider Demographics
NPI:1134924798
Name:FLORIDA PAIN AND REHABILITATION SPECIALISTS, INC.
Entity type:Organization
Organization Name:FLORIDA PAIN AND REHABILITATION SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOUHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-322-2619
Mailing Address - Street 1:42 BARKLEY CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-4543
Mailing Address - Country:US
Mailing Address - Phone:239-322-2619
Mailing Address - Fax:239-226-0912
Practice Address - Street 1:42 BARKLEY CIR STE 2
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-4543
Practice Address - Country:US
Practice Address - Phone:239-322-2619
Practice Address - Fax:239-226-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty