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

Interventional Spine and Pain Institute LLC

Organization Anesthesiology Physician · NPI 1134880487

Interventional Spine and Pain Institute LLC is an Anesthesiology Physician in Vero Beach, Florida. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

777 37th St Ste C101
Vero Beach, FL 32960-7301
Phone: (908) 303-8044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6559 N Wickham Rd, Melbourne, FL 32940-2052 — (772) 360-1997
  • 5200 Babcock St Ne Ste 111, Palm Bay, FL 32905-4639 — (772) 360-1997

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1134880487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phaedra Shudra — Credentialing & Contracting Spec · (813) 785-4861
NPI enumeratedJanuary 7, 2022
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address777 37th St Ste C101, Vero Beach, FL 32960-7301

Other providers in Vero Beach