Organization
PAIN CENTER OF CENTRAL FL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE AVERY MELVIN JR. MD (PRESIDENT)
(407) 649-7800
Entity
Organization
Contact information
Practice address
3861 OAKWATER CIR STE 2, ORLANDO, FL 32806-6258
(407) 649-7800
(407) 649-9881
Mailing address
3861 OAKWATER CIR STE 2, ORLANDO, FL 32806-6258
(407) 649-7800
(407) 649-9881
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0055539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09101
BCBS
FL
01
—
1669423001
CIGNA PPO
FL
01
—
1669423007
CIGNA HMO
FL
01
—
208633
AVMED
FL
Enumeration date
08/28/2006
Last updated
07/14/2010
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