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FLA MEDICAL PAIN RELIEF & DETOX CENTER LLC NPI 1699018127


NPI Information

NPI: 1699018127
Provider Name: FLA MEDICAL PAIN RELIEF & DETOX CENTER LLC

Doing Business As: FLORIDA MEDICAL HEALTH CARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2013641

Address:
6740 TAFT ST
HOLLYWOOD, FL
ZIP 33024
Phone: (954) 966-7911
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FLA MEDICAL PAIN RELIEF & DETOX CENTER LLC is a general practice in Hollywood, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FLA MEDICAL PAIN RELIEF & DETOX CENTER LLC NPI is 1699018127. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Medical Health Care.

The provider's business location address is:

6740 TAFT ST
HOLLYWOOD, FL
ZIP 33024-903
Phone: (954) 966-7911
Fax: (954) 966-3352

The provider's authorized official is Janis Mikus .
The authorized official title is Director and has the following contact phone number (954) 966-7911.

The CLIA number assigned to this NPI record is 10D2013641 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2013 and was last updated on 4/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyNo
2207R00000XInternal MedicineNo
3208D00000XGeneral PracticeYes

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

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