INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA - NPI 1235227075

Q: What is Institute Of Interventional Pain Management PA's specialty?

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

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About Institute Of Interventional Pain Management Pa NPPES

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

INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA (NPI 1235227075), doing business as West Florida Anesthesia, is a healthcare organization registered as an interventional pain medicine in Brooksville, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Deborah H Tracy, President, as its authorized official.

NPPES Registry Identity

NPI1235227075

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameINSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT PA

Location Address11319 CORTEZ BLVDBrooksville, FL 34613-5407

Mailing AddressPo Box 5719Spring Hill, FL 34611-5719 · (352) 597-0907 · Fax (352) 597-2243

Phone(352) 597-0907

Fax(352) 597-2243

Organization SubpartNo

Authorized OfficialDeborah H TracyPresident · (352) 597-0907

Enumeration DateOctober 10, 2006

Last NPPES UpdateDecember 29, 2009

✔ NPI 1235227075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in FL · 276400470

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.

11319 CORTEZ BLVD, Brooksville, FL 34613

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Other Names 1

Former Legal Business NameWest Florida Anesthesia

Other Identifiers 7

Other07882Blue Cross/blue Shield

Medicare PIN33459

Medicaid377097400FL

Medicare UPINE21436

OtherCA4235Rrmc

Medicare PIN07882W

Other5301427Ghi

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

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 10D1017154

Institute Of Interventional Pain Management · Spring Hill, FL

Active · expires Sep 16, 2027

CLIA Number10D1017154

Laboratory TypePhysician Office

Certificate Effective DateSeptember 17, 2025

Certificate Expiration DateSeptember 16, 2027

Laboratory DirectorDeborah H. Tracy

Laboratory Phone(352) 597-0907

Laboratory LocationInstitute Of Interventional Pain Management11319 Cortez Blvd, Spring Hill, FL 34613

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 6

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

LAUREN D JUYIA D.O.

Obstetrics & Gynecology (Gynecology)