Healthcare Provider Details

I. General information

NPI: 1194371484
Provider Name (Legal Business Name): ORTHOPEDIC ANESTHESIA PAIN SPECIALISTS FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33401-2711
US

IV. Provider business mailing address

PO BOX 22250
NEW YORK NY
10087-2250
US

V. Phone/Fax

Practice location:
  • Phone: 561-657-4600
  • Fax: 561-657-4605
Mailing address:
  • Phone: 844-268-4820
  • Fax: 631-201-3179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEAN-PIERRE P OUANES
Title or Position: AUTHORIZED OFFICIAL
Credential: DO
Phone: 561-657-4600