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NPI Code Detail

MEDICARE: PAIN REMEDIES, LLC

MEDICARE: PAIN REMEDIES, 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
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1609473651
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAIN REMEDIES, LLC
Provider Business Mailing Address
First Line : 130 S UNIVERSITY DR STE C
Second Line :
City : PLANTATION
State : FL
Zip : 33324-3329
Country : US
Telephone Number : 954-900-6699
Fax Number : 954-876-4681
Provider Business Practice Location Address
First Line : 130 S UNIVERSITY DR STE C
Second Line :
City : PLANTATION
State : FL
Zip : 33324-3329
Country : US
Telephone Number : 954-900-6699
Fax Number : 954-876-4681
Authorized Official
Title or Position : AP
Name : JEFF STEINBERG
Credential : MD
Telephone Number : 954-900-6699
Provider Enumeration Date : 10/02/2020
Last Update Date : 10/02/2020

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Directions to “PAIN REMEDIES, LLC ” Practice Location

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