Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interventional Pain Service LLC

Organization Interventional Pain Medicine Physician · NPI 1689681793

Interventional Pain Service LLC is an Interventional Pain Medicine Physician in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 N Clyde Morris Blvd Ste 120
Daytona Beach, FL 32114-2724
Phone: (386) 254-4029
Fax: (386) 254-4274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence ME0063660 (FL)

Record details

NPI number1689681793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Mayfield — Member Manager · (386) 254-4029
NPI enumeratedAugust 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address201 N Clyde Morris Blvd, Suite 120, Daytona Beach, FL 32114-2724

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