OrganizationActive
Advanced Interventional Pain Clinic, LLC
NPI 1245678879 · Interventional Pain Medicine Physician · Ocoee, FL
Provider details
- NPI number
- 1245678879
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Interventional Pain Clinic, LLC
- Organization subpart
- Yes
- Authorized official
- Swamy Yatham, Director(407) 622-7246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1530 Citrus Medical Ct
Suite 101
Ocoee, FL 34761-4548
Phone: (407) 622-7246
Fax: (407) 599-7246
Approximate (ZIP-level) locationGet directions
Mailing address
1170 S Semoran Blvd
Orlando, FL 32807-1458
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2014-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.