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RIVERCOAST PAIN MANAGEMENT
NPI 1609252188
Clinic/Center - Pain in Rockledge, FL

Active since August 06, 2015
1899 MURRELL RD STE 130, ROCKLEDGE, FL 32955(321) 305-5987(321) 338-2977 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Rivercoast Pain Management NPPES

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

RIVERCOAST PAIN MANAGEMENT (NPI 1609252188) is a healthcare organization registered as a pain in Rockledge, Florida and active in the NPI registry since August 2015. The organization lists Michael Delano Willis, President, as its authorized official.

NPPES Registry Identity

NPI1609252188
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameRIVERCOAST ANESTHESIA, P.A.
Location Address1899 MURRELL RD STE 130Rockledge, FL 32955-3285
Mailing Address1899 Murrell Rd Ste 130Rockledge, FL 32955-3285 · (321) 305-5987 · Fax (321) 338-2977
Phone(321) 305-5987
Fax(321) 338-2977
Organization SubpartNo
Authorized OfficialMichael Delano WillisPresident · (321) 305-5987
Enumeration DateAugust 6, 2015
✔ NPI 1609252188 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 · 11323
1899 MURRELL RD STE 130, Rockledge, FL 32955
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Other Names 1

Doing Business AsRivercoast Pain Management

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 10D2082720

Rivercoast Pain Management · Rockledge, FL
Expired · Aug 19, 2026
CLIA Number10D2082720
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorMichael D. Willis
Laboratory Phone(321) 305-5987
Laboratory LocationRivercoast Pain Management1899 Murrell Rd Ste 130, Rockledge, FL 32955
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rivercoast Anesthesia, P.A.'s NPI number?

The NPI number for Rivercoast Anesthesia, P.A. is 1609252188. It was assigned to this organization in the NPPES registry on August 6, 2015. The provider is doing business as Rivercoast Pain Management.

Where is Rivercoast Anesthesia, P.A. located?

Rivercoast Anesthesia, P.A. is located at 1899 Murrell Rd Ste 130, Rockledge, FL 32955. The listed phone number is (321) 305-5987.

What is Rivercoast Anesthesia, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Rivercoast Anesthesia, P.A. was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.