SW FLORIDA PAIN CENTER INC - NPI 1215006549 - Specialist in Port Charlotte, FL

Q: What is SW Florida Pain Center Inc's NPI number?

The NPI number for SW Florida Pain Center Inc is 1215006549. It was assigned to this organization in the NPPES registry on November 8, 2006.

Q: What is SW Florida Pain Center Inc's specialty?

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

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About Sw Florida Pain Center Inc NPPES

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

SW FLORIDA PAIN CENTER INC (NPI 1215006549) is a healthcare organization registered as a specialist in Port Charlotte, Florida and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through January 7, 2028, maintains a secondary practice location in Venice, and lists Robert D Ball, Director, as its authorized official.

NPPES Registry Identity

NPI1215006549

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSW FLORIDA PAIN CENTER INC

Location Address19621 COCHRAN BLVD, UNIT #1Port Charlotte, FL 33948

Mailing Address19621 Cochran Blvd Ste 3Port Charlotte, FL 33948-2070 · (941) 627-9095 · Fax (941) 629-6993

Phone(941) 627-9095

Fax(941) 629-6993

Organization SubpartNo

Authorized OfficialRobert D BallDirector · (941) 627-9095

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1215006549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

19621 COCHRAN BLVD, Port Charlotte, FL 33948

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Secondary Practice Location 1

Location 11299 Jacaranda BlvdVenice, FL 34292 · Phone (941) 303-5505

Other Identifiers 1

Other21632FL · Bcbs

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Accreditation 10D1002940

SW Florida Pain Center Inc · Port Charlotte, FL

Active · expires Jan 7, 2028

CLIA Number10D1002940

Laboratory TypePhysician Office

Certificate Effective DateJanuary 8, 2026

Certificate Expiration DateJanuary 7, 2028

Laboratory DirectorDr. Robert Ball

Laboratory Phone(941) 627-9095

Laboratory LocationSW Florida Pain Center Inc19621 Cochran Blvd Unit 1, Port Charlotte, FL 33948

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

DAVID FLESZAR D.O.

Radiology (Diagnostic Radiology)