OrganizationActive
Nexgen Laser Pain & Rehab Centers
NPI 1023815099 · Interventional Pain Medicine Physician · Tavares, FL
Provider details
- NPI number
- 1023815099
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Todd Mautner, Owner(813) 928-8037
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
854 S Duncan Dr
Tavares, FL 32778-4044
Phone: (352) 205-6147
Street-level locationGet directions
Mailing address
854 S Duncan Dr
Tavares, FL 32778-4044
Registry dates
- Enumerated
- 2025-02-27
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.