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NPI Code Detail

MEDICARE: LORENZO PAIN MANAGEMENT CORP

MEDICARE: LORENZO 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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1861727513
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORENZO PAIN MANAGEMENT CORP
Provider Business Mailing Address
First Line : 4779 COLLINS AVE
Second Line : APT. 1207
City : MIAMI BEACH
State : FL
Zip : 33140-3251
Country : US
Telephone Number : 305-586-3312
Fax Number :
Provider Business Practice Location Address
First Line : 4779 COLLINS AVE
Second Line : APT. 1207
City : MIAMI BEACH
State : FL
Zip : 33140-3251
Country : US
Telephone Number : 305-586-3312
Fax Number :
Authorized Official
Title or Position : MD
Name : EDUARDO E LORENZO
Credential :
Telephone Number : 305-586-3312
Provider Enumeration Date : 10/14/2009
Last Update Date : 05/04/2011

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Directions to “LORENZO PAIN MANAGEMENT CORP ” Practice Location

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