ANTI-AGING, REGENERATION AND PAIN CENTER
NPI 1336687391
Pain Medicine - Interventional Pain Medicine in Orange City, FL

Active since February 09, 2017
2275 N VOLUSIA AVE, ORANGE CITY, FL 32763(386) 774-0109(386) 774-1203 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 9, 2019, Dec 11, 2018, May 11, 2017 and 1 more (4 updates tracked since 2017).

About Anti-aging, Regeneration And Pain Center NPPES

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

ANTI-AGING, REGENERATION AND PAIN CENTER (NPI 1336687391) is a healthcare organization registered as an interventional pain medicine in Orange City, Florida and active in the NPI registry since February 2017. The organization maintains a secondary practice location in Orange City and lists George Tataw Besong, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1336687391
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN REHAB AND REGENERATIVE CENTER OF FLORIDA
Location Address2275 N VOLUSIA AVEOrange City, FL 32763-2833
Mailing Address2111 Hontoon RdDeland, FL 32720-4308 · (386) 747-9771
Fax(386) 774-1203
Organization SubpartNo
Authorized OfficialGeorge Tataw BesongPresident & Ceo · (386) 747-9771
Enumeration DateFebruary 9, 2017
Last NPPES UpdateJanuary 9, 20194 updates tracked since enumeration
NPI 1336687391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in FL · ME92729
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME123086 (FL)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME92729 (FL)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License ME92729 (FL)
2275 N VOLUSIA AVE, Orange City, FL 32763

Other Names 1

Doing Business AsAnti-aging, Regeneration And Pain Center

Secondary Practice Location 1

Location 12728 Enterprise Rd, Suite 200Orange City, FL 32763-8276 · Phone (386) 774-0109

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

Other Providers at the Same Location NPPES

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

Pain Medicine (Interventional Pain Medicine)
2275 N VOLUSIA AVE
ORANGE CITY, FL 32763

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 Interventional Pain Rehab And Regenerative Center Of Florida's NPI number?

The NPI number for Interventional Pain Rehab And Regenerative Center Of Florida is 1336687391. It was assigned to this organization in the NPPES registry on February 9, 2017. The provider is doing business as Anti-Aging, Regeneration And Pain Center.

Where is Interventional Pain Rehab And Regenerative Center Of Florida located?

Interventional Pain Rehab And Regenerative Center Of Florida is located at 2275 N Volusia Ave, Orange City, FL 32763. The listed phone number is (386) 774-0109.

What is Interventional Pain Rehab And Regenerative Center Of Florida's specialty?

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

When was this NPI record last updated?

The NPPES record for Interventional Pain Rehab And Regenerative Center Of Florida was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.