Palm Tree Interventional Pain Management, Pllc
LBN: Palm Tree Interventional Pain Management, Pllc
Palm Tree Interventional Pain Management, Pllc is an health care organization with primary practice located at 2801 17Th St Unit 202 , Saint Cloud FL 34769-4939. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Palm Tree Interventional Pain Management, Pllc can be contacted via phone (407) 906-1328, or through Song, Jason Jeong Hwan via phone (267) 312-9857.
Contact Information
Primary practice address
2801 17Th St Unit 202
Saint Cloud FL 34769-4939
Phone: (407) 906-1328
Fax: (866) 425-8143
Website:
Authorized official contact:
Name: Song, Jason Jeong Hwan Doctor of Medicine (MD)
Phone: (267) 312-9857
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | Florida | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | Florida |
Profile Details
| NPI number | 1336682764 |
|---|---|
| LBN Legal business name | Palm Tree Interventional Pain Management, Pllc |
| DBA Doing business as | |
| Authorized official | Song, Jason Jeong Hwan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 3rd, 2016 |
| Last updated | Oct 1st, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336682764 | NPPES |
| Florida | MEDICAID | 020119900 |
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