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FLORIDA SPINE & PAIN INSTITUTE
NPI 1053769661
Pain Medicine - Interventional Pain Medicine in Clermont, FL

Active since May 25, 2016
1804 OAKLEY SEAVER DR STE F, CLERMONT, FL 34711(407) 499-0755(949) 543-2564 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2023, Dec 15, 2021, May 24, 2021 and 4 more (7 updates tracked since 2017).

About Florida Spine & Pain Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA SPINE & PAIN INSTITUTE (NPI 1053769661), doing business as Specialized Rehabilitation Physician Group, is a healthcare organization registered as an interventional pain medicine in Clermont, Florida and active in the NPI registry since May 2016. The organization maintains 4 additional practice locations and lists Dara Sanchez, Manager, as its authorized official.

NPPES Registry Identity

NPI1053769661
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameFLORIDA SPINE & PAIN INSTITUTE
Location Address1804 OAKLEY SEAVER DR STE FClermont, FL 34711-1925
Mailing Address1804 Oakley Seaver Dr Ste FClermont, FL 34711-1925 · (407) 499-0755 · Fax (949) 543-2564
Phone(407) 499-0755
Fax(949) 543-2564
Organization SubpartNo
Authorized OfficialDara SanchezManager · (407) 744-4606
Enumeration DateMay 25, 2016
Last NPPES UpdateFebruary 20, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1053769661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1804 OAKLEY SEAVER DR STE F, Clermont, FL 34711
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Other Names 1

Doing Business AsSpecialized Rehabilitation Physician Group

Secondary Practice Locations 4

Location 1410 Lionel Way Ste 202Davenport, FL 33837-7809 · Phone (407) 499-0755 · Fax (949) 543-2564
Location 21724 33rd St Ste 200Orlando, FL 32839-8858 · Phone (407) 499-0755 · Fax (949) 543-2564
Location 3205 PARK PLACE BLVD STE AKISSIMMEE, FL 34741-2345 · Phone (407) 499-0755 · Fax (949) 543-2564
Location 45200 Davisson Ave Ste BOrlando, FL 32810-5350 · Phone (407) 499-0755 · Fax (949) 543-2564

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Spine & Pain Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Florida Spine & Pain Institute, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner14
Physical Medicine and Rehabilitation3

Clinicians, nearest first (17)

James Bailey
Nurse Practitioner
NPI 1578264149
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Wendilys Cruz Fontanez, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1942093976
1804 OAKLEY SEAVER DR
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Nataliya Gerasimenko, APRN
Nurse Practitioner
NPI 1083432470
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Harrison Haiden, DO
Physical Medicine and Rehabilitation
NPI 1013594738
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Thomas Mathew, MD
Physical Medicine and Rehabilitation
NPI 1306010129
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Javier Placer, MD
Physical Medicine and Rehabilitation
NPI 1205894680
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Liliannis Ricardo, APRN
Nurse Practitioner
NPI 1003766940
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Chelsea Standridge, ARNP
Nurse Practitioner
NPI 1225926744
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(352) 231-2258
✔ PECOS✔ Accepts MedicareSame address
Wanda Tipton, APRN
Nurse Practitioner
NPI 1255008835
1804 OAKLEY SEAVER DR STE F
Clermont, FL 34711
(407) 499-0755
✔ PECOS✔ Accepts MedicareSame address
Nancy Morgan, FNP-C
Nurse Practitioner
NPI 1922644020
400 BAXTER RD
Kissimmee, FL 34747
(407) 276-6662
✔ PECOS✔ Accepts Medicare19 mi
Lamisa Rayside, ARNP
Nurse Practitioner
NPI 1205151677
100 W GORE ST SUITE # 500
Orlando, FL 32806
(407) 649-8707
✔ PECOS✔ Accepts Medicare21 mi
Luis Marchany, APRN
Nurse Practitioner
NPI 1114816287
520 E CHURCH ST APT 1426
Orlando, FL 32801
(407) 758-5127
✔ PECOS21 mi
Anabelle Tan, APRN
Nurse Practitioner
NPI 1427716729
2881 DELANEY AVE
Orlando, FL 32806
(000) 000-0000
✔ PECOS✔ Accepts Medicare22 mi
Miguel Mestre
Nurse Practitioner
NPI 1669920237
130 RIDGE CENTER DR
Davenport, FL 33837
(866) 234-8534
✔ PECOS24 mi
Maneka Maxwell, NP
Nurse Practitioner
NPI 1871160614
9452 JUNIPER MOSS CIR
Orlando, FL 32832
(786) 303-1707
✔ PECOS✔ Accepts Medicare32 mi
Matthew Reynolds
Nurse Practitioner
NPI 1881235059
1122 HALLAMWOOD TRL S
Lakeland, FL 33813
(863) 450-0456
✔ PECOS✔ Accepts Medicare42 mi
Sabrina Cosby, FNP-C
Nurse Practitioner
NPI 1952133381
16417 TREASURE POINT DR
Wimauma, FL 33598
(941) 348-5132
✔ PECOS68 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Spine & Pain Institute's NPI number?

The NPI number for Florida Spine & Pain Institute is 1053769661. It was assigned to this organization in the NPPES registry on May 25, 2016. The provider is doing business as Specialized Rehabilitation Physician Group.

Where is Florida Spine & Pain Institute located?

Florida Spine & Pain Institute is located at 1804 Oakley Seaver Dr Ste F, Clermont, FL 34711. The listed phone number is (407) 499-0755.

What is Florida Spine & Pain Institute's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Florida Spine & Pain Institute enrolled in Medicare?

Yes. Florida Spine & Pain Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Spine & Pain Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Florida Spine & Pain Institute. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14) and Physical Medicine and Rehabilitation (3). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Florida Spine & Pain Institute accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Florida Spine & Pain Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Spine & Pain Institute was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.