Organization · NPI-2
Comprehensive Pain Management And Rehabilitation LLC
Clinic/Center, Multi-Specialty · Ocala, FL
NPI number1316646912
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1316646912
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Pain Management And Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2023
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 261QP3300X | Clinic/Center, Pain | – | – |
Practice location
10238 Sw 86th Cir Unit 300Ocala, FL 34481-7625
Phone 352-873-1011 · Fax 352-873-1017
Mailing address
10238 Sw 86th Cir Unit 300Ocala, FL 34481-7625
Phone 352-873-1011 · Fax 352-873-1017
Other practice locations
414 Highway 466
Lady Lake, FL 32159-3722
Lady Lake, FL 32159-3722
Phone 352-873-1011 · Fax 352-873-1017
Authorized official
Chayapathy M Jollu
Owner
3528731011
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