Headache And Pain Clinic Inc | |
6141 Sw 72nd St Ste 400 South Miami FL 33143-5026 | |
(305) 239-9455 | |
Not Available |
Full Name | Headache And Pain Clinic Inc |
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Speciality | Clinic/Center |
Location | 6141 Sw 72nd St Ste 400, South Miami, Florida |
Authorized Official Name and Position | Awss Zidan (OWNER) |
Authorized Official Contact | 3052399455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Headache And Pain Clinic Inc 6141 Sw 72nd St Ste 400 South Miami FL 33143-5026 Ph: (305) 239-9455 | Headache And Pain Clinic Inc 6141 Sw 72nd St Ste 400 South Miami FL 33143-5026 Ph: (305) 239-9455 |
NPI Number | 1316790355 |
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Provider Enumeration Date | 04/09/2024 |
Last Update Date | 05/30/2024 |
Medicare PECOS PAC ID | 4385189505 |
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Medicare Enrollment ID | O20240712000100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316790355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Awss Zidan |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225472525 PECOS PAC ID: 2567730807 Enrollment ID: I20220912000977 |
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