Healthcare Provider Details

I. General information

NPI: 1346710423
Provider Name (Legal Business Name): CENTER FOR PAIN MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 ALOMA AVE SUITE100
WINTER PARK FL
32792
US

IV. Provider business mailing address

2100 ALOMA AVE SUITE100
WINTER PARK FL
32792
US

V. Phone/Fax

Practice location:
  • Phone: 407-478-0007
  • Fax: 407-478-4517
Mailing address:
  • Phone: 407-478-0007
  • Fax: 407-478-4517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAYVAN ARIANI
Title or Position: MANAGER/OWNER
Credential: MD
Phone: 407-478-0007