FULL SERVICE PAIN MANAGEMENT NPI 1679883656

NPI Information

NPI: 1679883656
Provider Name: FULL SERVICE PAIN MANAGEMENT
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3107 W. HALLANDALE BEACH BLVD
SUITE #102
PEMBROKE PARK, FL
ZIP 33009
Phone: (954) 987-6100
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FULL SERVICE PAIN MANAGEMENT is a pain clinic center in Pembroke Park, FL. FULL SERVICE PAIN MANAGEMENT NPI is 1679883656. The provider is registered as an organization entity type.

The provider's business location address is:

3107 W. HALLANDALE BEACH BLVD
SUITE #102
PEMBROKE PARK, FL
ZIP 33009-144
Phone: (954) 987-6100
Fax: (954) 987-2360

The provider's authorized official is Eduardo Mila Prats .
The authorized official title is Vp and has the following contact phone number (954) 987-6100.

The enumeration date for this NPI number is 10/8/2010 and was last updated on 10/8/2010.

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
1	261QP3300X	Clinic/Center	Pain	PMC541	FLORIDA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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