Healthcare Provider Details

I. General information

NPI: 1740385350
Provider Name (Legal Business Name): ADVANCED PAIN MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 CLYDE MORRIS BLVD SUITE 400
ORMOND BEACH FL
32174
US

IV. Provider business mailing address

27810 SUMMERGATE BLVD
WESLEY CHAPEL FL
33544-6919
US

V. Phone/Fax

Practice location:
  • Phone: 386-671-0600
  • Fax: 386-677-9710
Mailing address:
  • Phone: 813-388-2948
  • Fax: 813-388-6827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAULIK K BHALANI
Title or Position: OWNER
Credential: MD
Phone: 813-388-2948