OrganizationActive
Op Medical LLC
NPI 1144452582 · Interventional Pain Medicine Physician · Port Orange, FL
Provider details
- NPI number
- 1144452582
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Ottaviani, Clinic Director(386) 366-9119
- License
- ME0067232 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 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
1515 Herbert St
Ste 209
Port Orange, FL 32129-6104
Phone: (386) 366-9119
Street-level locationGet directions
Mailing address
1515 Herbert St
Port Orange, FL 32129-6104
Registry dates
- Enumerated
- 2009-08-19
- Last updated
- 2009-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.