MEDICARE: FLORIDA MEDICAL PAIN MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		FL

General Provider Information

NPI Number	:	1699822114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA MEDICAL PAIN MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	6333 54TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-1703
Country	:	US
Telephone Number	:	727-548-6100
Fax Number	:	727-545-0960

Provider Business Practice Location Address
First Line	:	6333 54TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-1703
Country	:	US
Telephone Number	:	727-548-6100
Fax Number	:	727-545-0960

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. KAZI M HASSAN
Credential	:	M.D.
Telephone Number	:	727-548-6100

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	12/10/2025

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