MEDICARE: PAIN RELIEF MEDICAL AND REHABILITATION CENTER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine

General Provider Information

NPI Number	:	1437107125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN RELIEF MEDICAL AND REHABILITATION CENTER INC.

Provider Business Mailing Address
First Line	:	7000 W 12TH AVE
Second Line	:	SUITE #15
City	:	HIALEAH
State	:	FL
Zip	:	33014-5154
Country	:	US
Telephone Number	:	305-825-7022
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 W 12TH AVE
Second Line	:	SUITE #15
City	:	HIALEAH
State	:	FL
Zip	:	33014-5154
Country	:	US
Telephone Number	:	305-825-7022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JANET FARIGOLA
Credential	:
Telephone Number	:	786-419-5035

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/22/2020

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