PREMIER PAIN INC NPI 1053183111

NPI Information

  • NPI: 1053183111
  • Provider Name: PREMIER PAIN INC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 9050 PINES BLVD STE 301
    PEMBROKE PINES, FL
    ZIP 33024
  • Phone: (754) 888-9080

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NPI Details

PREMIER PAIN INC is a multi-specialty clinic center in Pembroke Pines, FL. PREMIER PAIN INC NPI is 1053183111. The provider is registered as an organization entity type.

The provider's business location address is:

9050 PINES BLVD STE 301
PEMBROKE PINES, FL
ZIP 33024-422
Phone: (754) 888-9080
Fax: (754) 888-9280

The provider's authorized official is Ninedty Cordova .
The authorized official title is Owner and has the following contact phone number (754) 888-9080.

The enumeration date for this NPI number is 10/23/2023 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QP3300XClinic/CenterPainNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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