Provider Demographics
NPI:1982815080
Name:ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA
Entity Type:Organization
Organization Name:ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA
Other - Org Name:PAIN RELIEF CENTER OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FABIAN
Authorized Official - Middle Name:ALFONSO
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-708-9555
Mailing Address - Street 1:100 3RD AVE W
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8638
Mailing Address - Country:US
Mailing Address - Phone:941-708-9555
Mailing Address - Fax:941-708-5465
Practice Address - Street 1:100 3RD AVE W
Practice Address - Street 2:SUITE 110
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8638
Practice Address - Country:US
Practice Address - Phone:941-708-9555
Practice Address - Fax:941-708-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71496174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
49432OtherBLUE CROSS/BLUE SHIELD
FL7067153OtherAETNA
FL7067153OtherAETNA
FL49432AMedicare ID - Type UnspecifiedINDIVIDUAL
FLK3629Medicare PIN