Organization

Florida Pain And Rehabilitation Associates Inc

Specialist in Delray Beach, FL(View on Map)

Legal Business Name

Florida Pain And Rehabilitation Associates Inc

NPI Number

1700396660

NPI Type

Organization

Enumeration Date

10/05/2017

Specialties

(Taxonomies)

Code

174400000X
3336C0002X
291U00000X
208VP0014X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Florida
Florida
Florida

License Number

ME109651
PH24372
800025838

Contact
Information

Purpose

Mailing
Location

Address

5365 W ATLANTIC AVE STE 504
5365 W ATLANTIC AVE STE 504

City

Delray Beach
Delray Beach

State

FL
FL

Postal Code

33484-8194
33484-8194

Country

US
US

Telephone Number

(561) 241-9300
(561) 241-9300

Authorized Official

Name

Cherian Sajan

Title or Position

OWNER

Telephone Number

(407) 622-5766

Identifiers

Identifier

34259B

Identifier State

FL

Identifier Issuer

MEDICARE

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

Data last updated by provider on 10/24/2017

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