Provider Demographics
NPI:1295771731
Name:COMPREHENSIVE PAIN MANAGEMENT PARTNERS LLP
Entity type:Organization
Organization Name:COMPREHENSIVE PAIN MANAGEMENT PARTNERS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-846-7618
Mailing Address - Street 1:4807 US HIGHWAY 19 STE 102
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4260
Mailing Address - Country:US
Mailing Address - Phone:727-846-7618
Mailing Address - Fax:727-849-7090
Practice Address - Street 1:4807 US HIGHWAY 19 STE 102
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4260
Practice Address - Country:US
Practice Address - Phone:727-846-7618
Practice Address - Fax:727-849-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL116065000Medicaid
FLE05669Medicare UPIN
FLF33616Medicare UPIN
FL21211BMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER