| Pain Healing Center LLC | |
|
1749 S Kings Ave Brandon FL 33511-6220 | |
| (813) 333-1819 | |
| (813) 413-7835 |
| Full Name | Pain Healing Center LLC |
|---|---|
| Speciality | Anesthesiology |
| Location | 1749 S Kings Ave, Brandon, Florida |
| Authorized Official Name and Position | Abd Alrahman Benni (PHYSICIAN) |
| Authorized Official Contact | 8133676986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Healing Center LLC 1749 S Kings Ave Brandon FL 33511-6220 Ph: (813) 333-1819 | Pain Healing Center LLC 1749 S Kings Ave Brandon FL 33511-6220 Ph: (813) 333-1819 |
| NPI Number | 1538398995 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 06/24/2026 |
| Certification Date | 06/24/2026 |
| Medicare PECOS PAC ID | 9537295134 |
|---|---|
| Medicare Enrollment ID | O20100408000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538398995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | ME102050 (Florida) | Primary |
| Provider Name | Abd Alrahman Benni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568439701 PECOS PAC ID: 4981645991 Enrollment ID: I20080729000132 |
| Provider Name | Linh My Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093315285 PECOS PAC ID: 8325454838 Enrollment ID: I20210309000371 |
| Provider Name | Hailey D Bess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427781988 PECOS PAC ID: 8123403151 Enrollment ID: I20220912002783 |
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