Organization

Pain Specialists Of Miami Lakes Corp

Legal Business Name

Pain Specialists Of Miami Lakes Corp

NPI Number

1295481976

NPI Type

Organization

Enumeration Date

02/22/2022

Contact
Information

Purpose

Mailing
Location

Address

15600 NW 67TH AVE STE 203
15600 NW 67TH AVE STE 203

City

Miami Lakes
Miami Lakes

State

FL
FL

Postal Code

33014-2175
33014-2175

Country

US
US

Telephone Number

(786) 365-1492
(786) 365-1492

Authorized Official

Name

Pablo Smith

Title or Position

AUTHORIZED OFFICIAL

Telephone Number

(786) 562-0632

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/22/2022

Provider Address