OrganizationActive
Pain Management Center, Inc
NPI 1265089965 · Pain Medicine (Anesthesiology) Physician · Orange City, FL
Provider details
- NPI number
- 1265089965
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Kidd, Owner(407) 362-8954
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
152 Treemonte Dr
Orange City, FL 32763-7953
Phone: (407) 362-8954
Street-level locationGet directions
Mailing address
4565 Old Carriage Trl
Oviedo, FL 32765-8454
Registry dates
- Enumerated
- 2019-08-19
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.