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ADVANCED PAIN MANAGEMENT CLINIC, INC
NPI 1255565388
Anesthesiology - Pain Medicine in Jacksonville, FL

Active since May 04, 2009CLIA 10D1107226 · Accreditation
5757 BOOTH RD, BUILDING 100, JACKSONVILLE, FL 32207(904) 683-2596(904) 683-2597 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Pain Management Clinic, Inc NPPES

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

ADVANCED PAIN MANAGEMENT CLINIC, INC (NPI 1255565388) is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since May 2009. The organization holds an CLIA Accreditation certificate valid through August 23, 2026 and lists Michael Scott Willens, President, as its authorized official.

NPPES Registry Identity

NPI1255565388
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameADVANCED PAIN MANAGEMENT CLINIC, INC
Location Address5757 BOOTH RD, BUILDING 100Jacksonville, FL 32207-5980
Mailing Address5757 Booth Rd, Building 100Jacksonville, FL 32207-5980 · (904) 683-2596 · Fax (904) 683-2597
Phone(904) 683-2596
Fax(904) 683-2597
Organization SubpartNo
Authorized OfficialMichael Scott WillensPresident · (904) 635-5555
Enumeration DateMay 4, 2009
Last NPPES UpdateOctober 1, 2012
✔ NPI 1255565388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in FL · OS8432
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
5757 BOOTH RD, Jacksonville, FL 32207
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Other Identifiers 1

Medicare UPINH46915FL

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 Accreditation 10D1107226

Advanced Pain Management Clinic LLC · Jacksonville, FL
Active · expires Aug 23, 2026
CLIA Number10D1107226
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorRicky Bateh
Laboratory Phone(904) 683-2596
Laboratory LocationAdvanced Pain Management Clinic LLC3003 Claire Ln Bldg 100, Jacksonville, FL 32223
CLIA data matches this NPI record on: 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 2

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

HAROLD M. REHBEIN, M.D., P.A.
Dermatology
5757 BOOTH RD, #200
JACKSONVILLE, FL 32207
Duval County (904) 730-0078
DR. CHONGLUN XIE MD
Internal Medicine
5757 BOOTH RD, SUITE 200
JACKSONVILLE, FL 32207
Duval County (904) 636-9510

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 Advanced Pain Management Clinic, Inc's NPI number?

The NPI number for Advanced Pain Management Clinic, Inc is 1255565388. It was assigned to this organization in the NPPES registry on May 4, 2009.

Where is Advanced Pain Management Clinic, Inc located?

Advanced Pain Management Clinic, Inc is located at 5757 Booth Rd Building 100, Jacksonville, FL 32207. The listed phone number is (904) 683-2596.

What is Advanced Pain Management Clinic, Inc's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Advanced Pain Management Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D1107226) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Pain Management Clinic, Inc was last updated on October 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.