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

Palm Tree Interventional Pain Management, PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1336682764

Palm Tree Interventional Pain Management, PLLC is a Physical Medicine & Rehabilitation Physician in Saint Cloud, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 17th St Unit 202
Saint Cloud, FL 34769-4939
Phone: (407) 906-1328
Fax: (866) 425-8143
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X (FL)
Interventional Pain Medicine Physician Taxonomy 208VP0014X (FL)

Record details

NPI number1336682764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Song — Medical Director · (267) 312-9857
NPI enumeratedDecember 3, 2016
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address2801 17th St Unit 202, Saint Cloud, FL 34769-4939

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