Healthcare Provider Details

I. General information

NPI: 1467480103
Provider Name (Legal Business Name): NORTH FLORIDA PAIN SPECIALISTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 NW 64TH TER SUITE C
GAINESVILLE FL
32605-4219
US

IV. Provider business mailing address

1130 NW 64TH TER SUITE C
GAINESVILLE FL
32605-4219
US

V. Phone/Fax

Practice location:
  • Phone: 352-331-5557
  • Fax: 352-331-5510
Mailing address:
  • Phone: 352-331-5557
  • Fax: 352-331-5510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME80970
License Number StateFL

VIII. Authorized Official

Name: DR. JOHN J SASSANO
Title or Position: OWNER/ MEDICAL DIRECTOR
Credential: MD
Phone: 352-331-5557