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General NPI Number Information
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NPI Number | 1841813920
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA PAIN CARE
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 15600 NW 67TH AVE STE 306
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2176
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Country | US
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Telephone | 305-828-8260
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Fax |
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Provider Business Mailing Address
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Address Line | 7149 NW 127TH WAY
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City | PARKLAND
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State | FL
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Zip | 33076-1982
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Country | US
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Telephone | 954-854-0892
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOEL SALAMON
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Credential | MD
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Telephone | 954-854-0892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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