PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL
NPI 1619216314
Clinic/Center - Pain in Fort Myers, FL

Active since January 31, 2013CLIA Certified · 3 labs
7964 SUMMERLIN LAKES DR, FORT MYERS, FL 33907(239) 333-1777(239) 333-1169 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2019, Apr 25, 2019 (2 updates tracked since 2019).

  • Organization
  • Clinic/Center
  • Pain
  • CLIA Number: 10D1091533
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-28-2027

About PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL

This page provides the complete NPI Profile along with additional information for Pain Management Consultants Of Southwest Florida, Pl, a provider established in Fort Myers, Florida operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1619216314 assigned on January 2013. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Velimir A Micovic Md (Physician)

NPI
1619216314 Verify this NPI
Provider Name
PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, PL
Entity Type
Organization
Location Address
7964 SUMMERLIN LAKES DR FORT MYERS, FL 33907
Location Phone
(239) 333-1777
Location Fax
(239) 333-1169
Mailing Address
23 BARKLEY CIR FORT MYERS, FL 33907
Mailing Phone
(605) 988-4883
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2013
Last Update Date
05-02-2019
Code Navigator

Location Map

Secondary Locations

  • 1031 SE 9th Pl Unit 5
    Cape Coral, FL 33990
    (239) 333-1177
  • 9400 Bonita Beach Rd SE Ste 101
    Bonita Springs, FL 34135
    (239) 333-1177

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VELIMIR A MICOVIC MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(239) 333-1177

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1091533
Facility Type
Physician Office
Certificate Effective Date
March 01, 2025
Certificate Expiration Date
February 28, 2027
Laboratory Director
VELIMIR MICOVIC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pain Management Consultants Of Southwest Florida, Pl to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Pain Medicine (Interventional Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Nurse Practitioner (Family)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Pain Medicine (Interventional Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Pain Medicine (Interventional Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619216314, enumerated as an "organization" on January 31, 2013.

The provider is located at 7964 SUMMERLIN LAKES DR FORT MYERS, FL 33907 and the phone number is (239) 333-1777.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.