Provider Demographics
NPI:1144971136
Name:AI PAIN INSTITUTE, LLC
Entity type:Organization
Organization Name:AI PAIN INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BART
Authorized Official - Middle Name:G
Authorized Official - Last Name:GATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-641-0089
Mailing Address - Street 1:4897 S JOG RD STE A
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5000
Mailing Address - Country:US
Mailing Address - Phone:561-445-2886
Mailing Address - Fax:561-434-9174
Practice Address - Street 1:4897 S JOG RD STE A
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-5000
Practice Address - Country:US
Practice Address - Phone:561-445-2886
Practice Address - Fax:561-434-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty