Healthcare Provider Details

I. General information

NPI: 1164455986
Provider Name (Legal Business Name): PREMIER PAIN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5975 SUNSET DR SUITE 804
SOUTH MIAMI FL
33143-5166
US

IV. Provider business mailing address

5975 SUNSET DR SUITE 804
SOUTH MIAMI FL
33143-5166
US

V. Phone/Fax

Practice location:
  • Phone: 305-740-2336
  • Fax: 305-740-2344
Mailing address:
  • Phone: 305-740-2336
  • Fax: 305-740-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EMILIO SUAREZ
Title or Position: MEDICAL DIRECTOR
Credential: D.O.
Phone: 305-740-2336