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
Specialties
(Taxonomies)Name
Code
213ES0103X
207XX0004X
207X00000X
207XS0117X
2081P2900X
208100000X
213E00000X
2081S0010X
213ES0000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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