Healthcare Provider Details

I. General information

NPI: 1831614080
Provider Name (Legal Business Name): FLORIDA MEDICAL PAIN MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5270 APPLEGATE DRIVE
SPRING HILL FL
34606
US

IV. Provider business mailing address

P.O. BOX 48639
ST. PETERSBURG FL
33743
US

V. Phone/Fax

Practice location:
  • Phone: 352-340-5990
  • Fax: 352-340-5990
Mailing address:
  • Phone: 727-548-6100
  • Fax: 727-545-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KAZI M. HASSAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 727-548-6100