OrganizationActive
Mobile Pain Management and Sports Medicine LLC
NPI 1619347309 · Interventional Pain Medicine Physician · Coral Springs, FL
Provider details
- NPI number
- 1619347309
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janice Victor, Management(888) 620-7246
- License
- ME100973 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3255 Nw 94th Avenue
# 9161
Coral Springs, FL 33075
Phone: (888) 620-7246
Approximate (ZIP-level) locationGet directions
Mailing address
3255 Nw 94th Avenue
Coral Springs, FL 33075
Registry dates
- Enumerated
- 2015-10-07
- Last updated
- 2015-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.