Organization
NORTH FLORIDA PAIN SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J SASSANO MD (OWNER/ MEDICAL DIRECTOR)
(352) 331-5557
Entity
Organization
Contact information
Practice address
1130 NW 64TH TER, SUITE C, GAINESVILLE, FL 32605-4219
(352) 331-5557
(352) 331-5510
Mailing address
1130 NW 64TH TER, SUITE C, GAINESVILLE, FL 32605-4219
(352) 331-5557
(352) 331-5510
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME80970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94895
BCBS OF FL GROUP #
FL
01
—
L200
AVEMED GROUP #
FL
Enumeration date
06/29/2006
Last updated
08/22/2020
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