OrganizationActive
Advanced Pain Management Specialist
NPI 1104005859 · Non-Pharmacy Dispensing Site · Fort Myers, FL
Advanced Pain Management Specialist is a Non-Pharmacy Dispensing Site organization in Fort Myers, FL (NPI 1104005859).
Provider details
- NPI number
- 1104005859
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Jonathan Daitch, Physician(239) 437-8000
- License
- BD1688641 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6120 Winkler Rd
Suite J
Fort Myers, FL 33919-8125
Phone: (239) 437-8000
Street-level locationGet directions
Mailing address
Po Box 07400
Fort Myers, FL 33919-0400
Registry dates
- Enumerated
- 2007-10-30
- Last updated
- 2008-12-03
Frequently asked questions
- What is Advanced Pain Management Specialist's NPI number?
- Advanced Pain Management Specialist's National Provider Identifier (NPI) is 1104005859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Pain Management Specialist?
- Advanced Pain Management Specialist is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Advanced Pain Management Specialist located?
- Advanced Pain Management Specialist's practice location on file with NPPES is 6120 Winkler Rd, Fort Myers, FL 33919-8125.
- What is Advanced Pain Management Specialist's phone number?
- The practice phone number listed in the NPPES registry for Advanced Pain Management Specialist is (239) 437-8000.
- Who is the authorized official for Advanced Pain Management Specialist?
- The authorized official listed on Advanced Pain Management Specialist's NPPES record is Jonathan Daitch, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Pain Management Specialist's NPI active?
- Yes — Advanced Pain Management Specialist's NPI (1104005859) is active in the NPPES registry as of the last update on 2008-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.