MEDICARE: COMPREHENSIVE PAIN MANAGEMENT SERVICES INC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME49902	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	07250	OTHER	FL	BC/BS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760562342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PAIN MANAGEMENT SERVICES INC

Provider Business Mailing Address
First Line	:	2051 45TH STREET
Second Line	:	SUITE 108
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407
Country	:	US
Telephone Number	:	561-845-7432
Fax Number	:	561-845-9750

Provider Business Practice Location Address
First Line	:	2051 45TH ST
Second Line	:	SUITE 108
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2027
Country	:	US
Telephone Number	:	561-845-7432
Fax Number	:	561-845-9750

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARCO GHIGNONE
Credential	:	MD
Telephone Number	:	561-845-7432

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/12/2022

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