OrganizationActive
Advanced Pain Clinic PA
NPI 1063689511 · Pain Medicine (Anesthesiology) Physician · Orlando, FL
Provider details
- NPI number
- 1063689511
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vrajlal Rajyaguru, Medical Director(407) 935-9404
- License
- ME0066759 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3901 E Colonial Dr
Orlando, FL 32803-5245
Phone: (407) 935-9404
Approximate (ZIP-level) locationGet directions
Mailing address
505 W Vine St
Kissimmee, FL 34741-4123
Registry dates
- Enumerated
- 2008-05-14
- Last updated
- 2008-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.