Interventional Spine And Pain Institute LLC
Pain Medicine, Interventional Pain Medicine in Melbourne, FL. Organization (NPI-2).
NPI number1093695504
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1093695504
- Entity type
- Organization (NPI-2)
- Legal business name
- Interventional Spine And Pain Institute LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2025
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 207L00000X | Anesthesiology | – | – | |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 208VP0000X | – | – | ||
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Practice location
6559 N Wickham RdMelbourne, FL 32940-2052
Phone 772-360-1997 · Fax 772-492-3541
Mailing address
777 37th St Ste C101Vero Beach, FL 32960-7301
Phone 772-360-1997 · Fax 772-492-3541
Authorized official
Phaedra L Shudra
Credentialing And Contracting Speci
8137854861
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Other Interventional Pain Medicine Physician providers in Melbourne, FL
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- Lilia K Vinarsky, M.D.NPI 1518120344
All 9 Interventional Pain Medicine Physician providers in Melbourne · All 6,122 providers in Melbourne
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