OrganizationActive
Pain Diagnostic & Management Center LLC
NPI 1700988672 · Pain Medicine Physician · Winter Haven, FL
Provider details
- NPI number
- 1700988672
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peggy Vent, Billing Rep(813) 685-2191
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
537 E Central Ave
Winter Haven, FL 33880-3054
Phone: (863) 293-3656
Fax: (863) 293-7887
Street-level locationGet directions
Mailing address
321 E Robertson St
Brandon, FL 33511-5253
Other names (DBA / former)
- Other name
- Pain Diagnostic & Management Center
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2010-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.