OrganizationActive
Fla Pain Management, LLC
NPI 1053631382 · Pain Medicine Physician · Altamonte Springs, FL
Provider details
- NPI number
- 1053631382
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bodo Pyko, Physician(407) 622-7640
- License
- OS1683 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs 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
279 Douglas Ave
Suite 1108
Altamonte Springs, FL 32714-3324
Phone: (407) 622-7640
Fax: (407) 622-7644
Street-level locationGet directions
Mailing address
279 Douglas Ave
Altamonte Springs, FL 32714-3324
Registry dates
- Enumerated
- 2010-06-09
- Last updated
- 2010-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.