OrganizationActive
Advanced Pain Clinic PA
NPI 1861470049 · Pain Medicine (Anesthesiology) Physician · Kissimmee, FL
Provider details
- NPI number
- 1861470049
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vrajlal Rajyaguru, President(407) 935-9404
- License
- ME0066759 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Practice location
505 W Vine St
Suite 301
Kissimmee, FL 34741-4156
Phone: (407) 935-9404
Fax: (407) 935-9304
Approximate (ZIP-level) locationGet directions
Mailing address
505 W Vine St
Kissimmee, FL 34741-4156
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.