Organization

Florida Pain & Rehabilitation Institute Inc

Specialist in Delray Beach, FL(View on Map)

Legal Business Name

Florida Pain & Rehabilitation Institute Inc

NPI Number

1245740125

NPI Type

Organization

Enumeration Date

10/05/2017

Specialties

(Taxonomies)

Code

174400000X
291U00000X
208VP0014X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida
Florida

License Number

ME109651
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

34259A
34259B
34259

Identifier State

FL
FL
FL

Identifier Issuer

MEDICARE
MEDICARE
MEDICARE

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

Data last updated by provider on 10/05/2017

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