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

Southern Interventional Pain Center LLC

Organization Neurology Physician · NPI 1407315948

Southern Interventional Pain Center LLC is a Neurology Physician in Tallahassee, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

1931 Welby Way Ste 4
Tallahassee, FL 32308-4473
Phone: (850) 404-9400
Fax: (855) 313-1262
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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
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1407315948
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Interventional Pain Center LLC
Authorized official Maximilian Shokat — Managing Member · (229) 226-2234
NPI enumeratedMarch 14, 2019
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020
Mailing address615 S Hansell St, Thomasville, GA 31792-5556

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