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Palm Tree Interventional Pain Management, Pllc

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Saint Cloud, FL · enumerated 2016 · authorized official Jason Song, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336682764

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Registry record

Entity type Organization (Type 2)
Legal business name Palm Tree Interventional Pain Management, Pllc
Practice address 2801 17th St Unit 202, Saint Cloud, FL, 34769
Fax (866) 425-8143
Enumeration date Dec 3, 2016
Last updated in NPPES Oct 1, 2020

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Primary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jason Song
Title Medical Director

Other identifiers

Identifier Type State Issuer
020119900 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Palm Tree Interventional Pain Management, Pllc located?
The practice location on file with NPPES is in Saint Cloud, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-01.