Orlando Pain Management Center LLC
NPI 1659214625ActiveOrganization· Family Medicine, Addiction Medicine· Orlando, FL
Family Medicine, Addiction Medicine in Orlando, Florida, registered in NPPES in April 2026. The authorized official on file is Phaedra Lund Shudra, Credentialing And Contracting Spec.
Overview
| NPI | 1659214625 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2026 |
| Last updated in NPPES | Apr 16, 2026 |
| Certified by provider | Apr 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | — | — |
| Internal Medicine | 207R00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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