FLORIDA PAIN TREATMENT CENTER INC
NPI 1205023264
Specialist in Miami, FL

Active since October 03, 2007CLIA 10D1101838 · Waiver
11780 SW 89TH ST, 3RD FLOOR, MIAMI, FL 33186(305) 260-9803(305) 260-9298 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Florida Pain Treatment Center Inc NPPES

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

FLORIDA PAIN TREATMENT CENTER INC (NPI 1205023264) is a healthcare organization registered as a specialist in Miami, Florida and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Ruben Gonzalez, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205023264
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFLORIDA PAIN TREATMENT CENTER INC
Location Address11780 SW 89TH ST, 3RD FLOORMiami, FL 33186-2181
Mailing Address11780 Sw 89th St, 3rd FloorMiami, FL 33186-2181 · (305) 260-9803 · Fax (305) 260-9298
Fax(305) 260-9298
Organization SubpartNo
Authorized OfficialRuben GonzalezMedical Director · (305) 260-9803
Enumeration DateOctober 3, 2007
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1205023264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME42929
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11780 SW 89TH ST, Miami, FL 33186

Other Identifiers 3

Medicare UPIND64949FL
Medicare NSC6341490001FL
Medicare PINK2971FL

Group Practice 1

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

Accepted 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 Pain Treatment Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Florida Pain Treatment Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Interventional Pain Management
NPI 1710972328
11780 SW 89TH ST 3RD FLOOR
Miami, FL 33186
(305) 260-9803
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780139261
14440 SW 92ND TER
Miami, FL 33186
(786) 280-1613
✔ PECOS✔ Accepts Medicare2.6 mi

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

CLIA Laboratory Certificates CMS CLIA

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 Waiver 10D1101838

Florida Pain Treatment Center · Miami, FL
Active · expires Jul 6, 2027
CLIA Number10D1101838
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorRuben Gonzalez
Laboratory Phone(305) 260-9803
Laboratory LocationFlorida Pain Treatment Center11780 SW 89th St, 3rd Fl, Miami, FL 33186
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pain Treatment Center Inc's NPI number?

The NPI number for Florida Pain Treatment Center Inc is 1205023264. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Florida Pain Treatment Center Inc located?

Florida Pain Treatment Center Inc is located at 11780 SW 89th St 3rd Floor, Miami, FL 33186. The listed phone number is (305) 260-9803.

What is Florida Pain Treatment Center Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Florida Pain Treatment Center Inc enrolled in Medicare?

Yes. Florida Pain Treatment Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Pain Treatment Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Florida Pain Treatment Center Inc, in Interventional Pain Management and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida Pain Treatment Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1101838) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Pain Treatment Center Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Molina Healthcare and 1 other insurer list Florida Pain Treatment Center Inc 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 Pain Treatment Center Inc was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.