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

Orlando Pain Management Center LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1659214625

Orlando Pain Management Center LLC is an Addiction Medicine (Family Medicine) Physician in Orlando, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

5425 S Semoran Blvd Ste 11
Orlando, FL 32822-1777
Phone: (407) 658-4616
Fax: (407) 658-4617
Show map & directions

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

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1659214625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phaedra Shudra — Credentialing And Contracting Spec · (813) 785-4861
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address5425 S Semoran Blvd Ste 11, Orlando, FL 32822-1777

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