Palm Tree Interventional Pain Management, PLLC
NPI 1336682764 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Saint Cloud, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Palm Tree Interventional Pain Management, PLLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Saint Cloud, FL (NPI 1336682764).
Provider details
- NPI number
- 1336682764
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Song, Medical Director(267) 312-9857
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-12-03
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Frequently asked questions
- What is Palm Tree Interventional Pain Management, PLLC's NPI number?
- Palm Tree Interventional Pain Management, PLLC's National Provider Identifier (NPI) is 1336682764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palm Tree Interventional Pain Management, PLLC?
- Palm Tree Interventional Pain Management, PLLC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Palm Tree Interventional Pain Management, PLLC located?
- Palm Tree Interventional Pain Management, PLLC's practice location on file with NPPES is 2801 17th St Unit 202, Saint Cloud, FL 34769-4939.
- What is Palm Tree Interventional Pain Management, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Palm Tree Interventional Pain Management, PLLC is (407) 906-1328.
- Does Palm Tree Interventional Pain Management, PLLC accept Medicare?
- Palm Tree Interventional Pain Management, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Palm Tree Interventional Pain Management, PLLC?
- The authorized official listed on Palm Tree Interventional Pain Management, PLLC's NPPES record is Jason Song, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palm Tree Interventional Pain Management, PLLC's NPI active?
- Yes — Palm Tree Interventional Pain Management, PLLC's NPI (1336682764) is active in the NPPES registry as of the last update on 2020-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.