INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC
NPI 1134880487
Pain Medicine - Interventional Pain Medicine in Vero Beach, FL

Q: What is Interventional Spine And Pain Institute LLC's specialty?

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

Active since January 07, 2022CLIA Certified · 2 labs

777 37TH ST STE C101, VERO BEACH, FL 32960(908) 303-8044 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Jan 7, 2022 (2 updates tracked since 2022).

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About Interventional Spine And Pain Institute Llc NPPES

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

INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC (NPI 1134880487) is a healthcare organization registered as an interventional pain medicine in Vero Beach, Florida and active in the NPI registry since January 2022. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Phaedra L Shudra, Credentialing & Contracting Spec, as its authorized official.

NPPES Registry Identity

NPI1134880487

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameINTERVENTIONAL SPINE AND PAIN INSTITUTE LLC

Location Address777 37TH ST STE C101Vero Beach, FL 32960-7301

Mailing Address777 37th St Ste C101Vero Beach, FL 32960-7301 · (772) 360-1997 · Fax (772) 492-3541

Phone(908) 303-8044

Organization SubpartNo

Authorized OfficialPhaedra L ShudraCredentialing & Contracting Spec · (813) 785-4861

Enumeration DateJanuary 7, 2022

Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1134880487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

777 37TH ST STE C101, Vero Beach, FL 32960

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Secondary Practice Locations 2

Location 16559 N Wickham RdMelbourne, FL 32940-2052 · Phone (772) 360-1997 · Fax (772) 492-3541

Location 25200 Babcock St NE Ste 111Palm Bay, FL 32905-4639 · Phone (772) 360-1997 · Fax (772) 492-3541

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 AvMed, Florida Blue (BlueCross BlueShield FL).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2287932

Interventional Spine And Pain Institute LLC · Palm Bay, FL

Active · expires Apr 9, 2027

CLIA Number10D2287932

Laboratory TypePhysician Office

Certificate Effective DateApril 10, 2025

Certificate Expiration DateApril 9, 2027

Laboratory DirectorSusana Ferra

Laboratory Phone(321) 374-6850

Laboratory LocationInterventional Spine And Pain Institute LLC5200 Babcock St NE, Suite 111, Palm Bay, FL 32905

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D2250261

Interventional Spine And Pain Institute LLC · Vero Beach, FL

Active · expires Jan 25, 2028

CLIA Number10D2250261

Laboratory TypePhysician Office

Certificate Effective DateJanuary 26, 2026

Certificate Expiration DateJanuary 25, 2028

Laboratory DirectorMichael F. Esposito

Laboratory Phone(908) 303-8044

Laboratory LocationInterventional Spine And Pain Institute LLC777 37th Street, Ste C-101, Vero Beach, FL 32960

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL FRANKLIN ESPOSITO M.D.

Pain Medicine (Interventional Pain Medicine)