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ATLANTIS PAIN CARE
NPI 1578872602
Clinic/Center - Pain in Melbourne, FL

Active since October 07, 2010CLIA 10D2015186 · Waiver
3150 N WICKHAM RD, SUITE 9, MELBOURNE, FL 32935(321) 773-4134(321) 574-5611 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atlantis Pain Care NPPES

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

ATLANTIS PAIN CARE (NPI 1578872602) is a healthcare organization registered as a pain in Melbourne, Florida and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists C R Long, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1578872602
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePAIN CARE MANAGEMENT OF MELBOURNE, LLC
Location Address3150 N WICKHAM RD, SUITE 9Melbourne, FL 32935-2322
Mailing Address5036 Dr Phillips Blvd, Suite 337Orlando, FL 32819-3310 · (321) 251-4462 · Fax (888) 469-1872
Phone(321) 773-4134
Fax(321) 574-5611
Organization SubpartNo
Authorized OfficialC R LongManaging Member · (321) 251-4462
Enumeration DateOctober 7, 2010
Last NPPES UpdateFebruary 13, 2014
✔ NPI 1578872602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in FL · PMC1568
3150 N WICKHAM RD, Melbourne, FL 32935
Open in Google Maps ↗

Other Names 1

Doing Business AsAtlantis Pain Care

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 10D2015186

Pain Care Management Of Melbourne LLC Atlantis Pain Care · Melbourne, FL
Active · expires Oct 24, 2026
CLIA Number10D2015186
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorMohammad H. Gharavi
Laboratory Phone(321) 773-4134
Laboratory LocationPain Care Management Of Melbourne LLC Atlantis Pain Care3210 N Wickham Rd Ste 1, Melbourne, FL 32935
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 5

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

NU-ME FITNESS AND EQUIPMENT CORP
Clinic/Center (Pain)
3150 N WICKHAM RD, SUITE 9
MELBOURNE, FL 32935
Brevard County (321) 241-6441
MARK C. DILLON, M.D. PLLC
Internal Medicine (Gastroenterology)
3150 N WICKHAM RD, SUITE 6
MELBOURNE, FL 32935
Brevard County (321) 242-3227
NU-ME FITNESS AND EQUIPMENT
Clinic/Center
3150 N WICKHAM RD, SUITE 9
MELBOURNE, FL 32935
Brevard County (386) 479-6620
DR. SHARON ANGELA DILLON M.D.
Pediatrics
3150 N WICKHAM RD
MELBOURNE, FL 32935
Brevard County (321) 242-3227
DR. THOMAS KARL VELLEFF JR. M. D.
Pain Medicine (Pain Medicine)
3150 N WICKHAM RD, SUITE 9
MELBOURNE, FL 32935
Brevard County (321) 241-6441

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 Pain Care Management Of Melbourne, LLC's NPI number?

The NPI number for Pain Care Management Of Melbourne, LLC is 1578872602. It was assigned to this organization in the NPPES registry on October 7, 2010. The provider is doing business as Atlantis Pain Care.

Where is Pain Care Management Of Melbourne, LLC located?

Pain Care Management Of Melbourne, LLC is located at 3150 N Wickham Rd Suite 9, Melbourne, FL 32935. The listed phone number is (321) 773-4134.

What is Pain Care Management Of Melbourne, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Pain Care Management Of Melbourne, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2015186) is associated with this NPI, valid through October 24, 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 Pain Care Management Of Melbourne, LLC was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.