Provider Demographics
NPI:1316808280
Name:PAIN AND SPINE SPECIALISTS OF FLORIDA
Entity type:Organization
Organization Name:PAIN AND SPINE SPECIALISTS OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORTOLANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-274-3601
Mailing Address - Street 1:1430 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-4551
Mailing Address - Country:US
Mailing Address - Phone:386-274-3601
Mailing Address - Fax:386-274-7010
Practice Address - Street 1:4750 N FEDERAL HIGHWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4609
Practice Address - Country:US
Practice Address - Phone:954-210-7500
Practice Address - Fax:754-243-7939
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DNA CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty