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NPI Code Detail

MEDICARE: PAIN SPECIALISTS OF NORTH MIAMI LLC

MEDICARE: PAIN SPECIALISTS OF NORTH MIAMI LLC
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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician
22081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number : 1578390399
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAIN SPECIALISTS OF NORTH MIAMI LLC
Provider Business Mailing Address
First Line : 11900 BISCAYNE BLVD STE 266
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33181-2756
Country : US
Telephone Number : 786-963-7135
Fax Number :
Provider Business Practice Location Address
First Line : 11900 BISCAYNE BLVD STE 266
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33181-2756
Country : US
Telephone Number : 786-963-7135
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MOISES GARCIA
Credential :
Telephone Number : 305-218-9990
Provider Enumeration Date : 09/16/2024
Last Update Date : 09/16/2024

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Directions to “PAIN SPECIALISTS OF NORTH MIAMI LLC ” Practice Location

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