Healthcare Provider Details

I. General information

NPI: 1225328933
Provider Name (Legal Business Name): NERVEPAIN SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E PALMETTO PARK RD SUITE # 204
BOCA RATON FL
33432-5080
US

IV. Provider business mailing address

499 E PALMETTO PARK RD SUITE # 204
BOCA RATON FL
33432-5080
US

V. Phone/Fax

Practice location:
  • Phone: 561-395-4111
  • Fax: 561-395-4223
Mailing address:
  • Phone: 561-395-4111
  • Fax: 561-395-4223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: CECILIA ROJAS
Title or Position: MNGR
Credential:
Phone: 561-395-4111