Healthcare Provider Details
I. General information
NPI: 1962189001
Provider Name (Legal Business Name): PAIN RELIEF SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2023
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2151 45TH ST STE 204
WEST PALM BEACH FL
33407-2009
US
IV. Provider business mailing address
1345 NE 4TH AVE
FT LAUDERDALE FL
33304-1031
US
V. Phone/Fax
- Phone: 954-458-1199
- Fax: 877-245-1839
- Phone: 954-458-1199
- Fax: 877-245-1839
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NEEL
HARISH
AMIN
Title or Position: OWNER
Credential: MD
Phone: 954-678-1074