PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC
NPI 1336682764
Physical Medicine & Rehabilitation - Pain Medicine in Saint Cloud, FL

Active since December 03, 2016
2801 17TH ST UNIT 202, SAINT CLOUD, FL 34769(407) 906-1328(866) 425-8143 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2020, Feb 7, 2017, Dec 27, 2016 (3 updates tracked since 2016).

About Palm Tree Interventional Pain Management, Pllc NPPES

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

PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC (NPI 1336682764) is a healthcare organization registered as a pain medicine in Saint Cloud, Florida and active in the NPI registry since December 2016. The organization lists Jason Jeong Hwan Song, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1336682764
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NamePALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC
Location Address2801 17TH ST UNIT 202Saint Cloud, FL 34769-4939
Mailing Address2801 17th St Unit 202Saint Cloud, FL 34769-4939 · (407) 906-1328 · Fax (866) 425-8143
Fax(866) 425-8143
Organization SubpartNo
Authorized OfficialJason Jeong Hwan SongMedical Director · (267) 312-9857
Enumeration DateDecember 3, 2016
Last NPPES UpdateOctober 1, 20203 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
NPI 1336682764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
2801 17TH ST UNIT 202, Saint Cloud, FL 34769

Other Identifiers 1

Medicaid020119900FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Pain Medicine (Pain Medicine)
2801 17TH ST UNIT 202
SAINT CLOUD, FL 34769
Physical Therapist
2801 17TH ST UNIT 202
SAINT CLOUD, FL 34769
Anesthesiology (Pain Medicine)
2801 17TH ST UNIT 202
SAINT CLOUD, FL 34769

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 Palm Tree Interventional Pain Management, PLLC's NPI number?

The NPI number for Palm Tree Interventional Pain Management, PLLC is 1336682764. It was assigned to this organization in the NPPES registry on December 3, 2016.

Where is Palm Tree Interventional Pain Management, PLLC located?

Palm Tree Interventional Pain Management, PLLC is located at 2801 17th St Unit 202, Saint Cloud, FL 34769. The listed phone number is (407) 906-1328.

What is Palm Tree Interventional Pain Management, PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

What insurance does Palm Tree Interventional Pain Management, PLLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Molina Healthcare list Palm Tree Interventional Pain Management, PLLC 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 Palm Tree Interventional Pain Management, PLLC was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.