Organization · Type 2 NPI

Interventional Spine and Pain Institute LLC

Interventional Pain Medicine Physician · Melbourne, FL

NPI number 1093695504 Active

Practice location

6559 N Wickham Rd
Melbourne, FL 32940-2052

Fax (772) 492-3541

Mailing address

777 37th St Ste C101
Vero Beach, FL 32960-7301

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Pain Medicine (Anesthesiology) Physician 207LP2900XNone listed
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Pain Medicine Physician 208VP0000XNone listed
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1093695504

Interventional Spine and Pain Institute LLC's National Provider Identifier is 1093695504, issued on Sep 4, 2025. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Melbourne, FL. The record was last updated on Sep 26, 2025.