South Lake Pain Institute, Inc
NPI 1033121546ActiveOrganization· Specialist· Clermont, FL
Specialist in Clermont, Florida, registered in NPPES in August 2006. The authorized official on file is Samildre Pacheco, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033121546 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2006 |
| Last updated in NPPES | Oct 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | FL |
| Specialist | 174400000X | OS8836 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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