Healthcare Provider Details

I. General information

NPI: 1417880717
Provider Name (Legal Business Name): SOUTH FLORIDA JOINT AND PAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 NW 42ND AVE STE 404
MIAMI FL
33126-5688
US

IV. Provider business mailing address

351 NW 42ND AVE STE 404
MIAMI FL
33126-5688
US

V. Phone/Fax

Practice location:
  • Phone: 786-920-4619
  • Fax: 305-441-0396
Mailing address:
  • Phone: 786-920-4619
  • Fax: 305-441-0396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAFAEL SANCHEZ-DOPAZO
Title or Position: MD
Credential: MD
Phone: 832-364-6337