Healthcare Provider Details

I. General information

NPI: 1093622318
Provider Name (Legal Business Name): METABOLIC HEALTH AND PAIN MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26206 WILLOW ST
BROOKSVILLE FL
34601-4731
US

IV. Provider business mailing address

26206 WILLOW ST
BROOKSVILLE FL
34601-4731
US

V. Phone/Fax

Practice location:
  • Phone: 352-659-6738
  • Fax: 352-606-5765
Mailing address:
  • Phone: 352-659-6738
  • Fax: 352-606-5765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL D COURTNEY
Title or Position: OWNER
Credential: MD
Phone: 352-659-6738