SOUTH FLORIDA PAIN CLINIC LLC NPI 1609000231

NPI Information

SOUTH FLORIDA PAIN CLINIC, LLC is a specialist in Hallandale Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH FLORIDA PAIN CLINIC, LLC NPI is 1609000231. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1250 E HALLANDALE BEACH BLVD
SUITE 602D
HALLANDALE BEACH, FL
ZIP 33009-634
Phone: (954) 458-4718

The provider's authorized official is Anna Kryuchkova .
The authorized official title is Mgmr and has the following contact phone number (954) 458-4718.

The CLIA number assigned to this NPI record is 10D2059579 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2009.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.