ORLANDO PAIN MANAGEMENT CENTER LLC
NPI 1659214625
Family Medicine - Addiction Medicine in Orlando, FL

Active since April 13, 2026CLIA 10D2013642 · Waiver
5425 S SEMORAN BLVD STE 11, ORLANDO, FL 32822(407) 658-4616(407) 658-4617 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orlando Pain Management Center Llc NPPES

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

ORLANDO PAIN MANAGEMENT CENTER LLC (NPI 1659214625) is a healthcare organization registered as an addiction medicine in Orlando, Florida and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Phaedra Lund Shudra, Credentialing And Contracting Spec, as its authorized official.

NPPES Registry Identity

NPI1659214625
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameORLANDO PAIN MANAGEMENT CENTER LLC
Location Address5425 S SEMORAN BLVD STE 11Orlando, FL 32822-1777
Mailing Address5425 S Semoran Blvd Ste 11Orlando, FL 32822-1777 · (407) 658-4616 · Fax (407) 658-4617
Fax(407) 658-4617
Organization SubpartNo
Authorized OfficialPhaedra Lund ShudraCredentialing And Contracting Spec · (813) 785-4861
Enumeration DateApril 13, 2026
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
NPI 1659214625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedInternal MedicineTaxonomy 207R00000X
5425 S SEMORAN BLVD STE 11, Orlando, FL 32822

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

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 10D2013642

Orlando Pain Management Center LLC Dba/Orlando Medical Health Care · Orlando, FL
Active · expires Sep 22, 2026
CLIA Number10D2013642
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorDr. Samuel M. Rosati
Laboratory Phone(407) 658-4616
Laboratory LocationOrlando Pain Management Center LLC Dba/Orlando Medical Health Care5425 S Semoran Blvd Ste 11, Orlando, FL 32822
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Anesthesiology (Pain Medicine)
5425 S SEMORAN BLVD STE 11
ORLANDO, FL 32822
Family Medicine
5425 S SEMORAN BLVD STE 11
ORLANDO, FL 32822

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 Orlando Pain Management Center LLC's NPI number?

The NPI number for Orlando Pain Management Center LLC is 1659214625. It was assigned to this organization in the NPPES registry on April 13, 2026.

Where is Orlando Pain Management Center LLC located?

Orlando Pain Management Center LLC is located at 5425 S Semoran Blvd Ste 11, Orlando, FL 32822. The listed phone number is (407) 658-4616.

What is Orlando Pain Management Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Orlando Pain Management Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2013642) is associated with this NPI, valid through September 22, 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 Orlando Pain Management Center LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.