MEDICARE: AMERICAN PAIN MANAGEMENT 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	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1659546760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN PAIN MANAGEMENT CENTER INC

Provider Business Mailing Address
First Line	:	7710 NW 71ST CT
Second Line	:	SUITE 202
City	:	TAMARAC
State	:	FL
Zip	:	33321-2973
Country	:	US
Telephone Number	:	954-726-4448
Fax Number	:	954-726-5472

Provider Business Practice Location Address
First Line	:	2100 45TH ST
Second Line	:	B4
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2016
Country	:	US
Telephone Number	:	954-726-4448
Fax Number	:	954-726-5472

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SCOTT S NOVICK
Credential	:
Telephone Number	:	954-726-4448

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	02/17/2010

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