MEDICARE: A&C PAIN MANAGEMENT CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1356394829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&C PAIN MANAGEMENT CORP

Provider Business Mailing Address
First Line	:	1149 SW 27TH AVE
Second Line	:	SUITE 201
City	:	MIAMI
State	:	FL
Zip	:	33135-4758
Country	:	US
Telephone Number	:	305-649-5306
Fax Number	:

Provider Business Practice Location Address
First Line	:	1149 SW 27TH AVE
Second Line	:	SUITE 201
City	:	MIAMI
State	:	FL
Zip	:	33135-4758
Country	:	US
Telephone Number	:	305-649-5306
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GILBERTO GINORIS
Credential	:
Telephone Number	:	305-649-5306

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

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Directions to “A&C PAIN MANAGEMENT CORP ” Practice Location

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