| Professional Pain Management Clinic Inc | |
|
3267 Davie Blvd Fort Lauderdale FL 33312 | |
| (954) 584-7009 | |
| (954) 584-7209 |
| Full Name | Professional Pain Management Clinic Inc |
|---|---|
| Speciality | Clinic/center - Pain |
| Location | 3267 Davie Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Erez Cohen (PRESIDENT) |
| Authorized Official Contact | 9545847009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Pain Management Clinic Inc 3267 Davie Blvd Fort Lauderdale FL 33312 Ph: (954) 584-7009 | Professional Pain Management Clinic Inc 3267 Davie Blvd Fort Lauderdale FL 33312 Ph: (954) 584-7009 |
| NPI Number | 1942512447 |
|---|---|
| Provider Enumeration Date | 07/13/2010 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942512447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS4663 (Florida) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Primary |
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