Pain Doctor Center Inc

NPI 1255602462 - General Practice - 208D00000X

NPI Details
NPI 1255602462
Enumeration Date 01/19/2012
Last Updated 06/26/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARTIN MARTIN
Position PRESIDENT
Phone (305) 823-4002
Fax
Practice Location
5931 NW 173RD DR
STE 7B
HIALEAH FL, 33015-5106, US
Phone (305) 823-4002
Fax
Business Location
5931 NW 173RD DR
STE 7B
HIALEAH FL, 33015-5106, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number HCC9547
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According to our database, Pain Doctor Center Inc NPI is 1255602462, taxonomy code is 208D00000X and license number is HCC9547, license state is located at Florida. Pain Doctor Center Inc physically located at 5931 Nw 173rd Dr, Hialeah FL, 33015-5106. NPI Number 1033115704 has the healthcare provider type.

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1255602462 NPI number is provided on an as is basis without warranty of any kind. 1255602462 is maintained by the National Plan & Provider Enumeration System. The contents of Pain Doctor Center Inc are for informational purposes only.