Provider Demographics
NPI:1962712794
Name:SOMNICARE ANESTHESIA & SPINE INTERVENTION SPECIALIST, INC
Entity type:Organization
Organization Name:SOMNICARE ANESTHESIA & SPINE INTERVENTION SPECIALIST, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARYOUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SABET-PAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-391-1750
Mailing Address - Street 1:809 CR 466 STE 302
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159
Mailing Address - Country:US
Mailing Address - Phone:352-391-1750
Mailing Address - Fax:352-391-1752
Practice Address - Street 1:809 COUNTY ROAD 466
Practice Address - Street 2:SUITE 302
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:352-391-1750
Practice Address - Fax:352-391-1752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty