# GALLOWAY PAIN CARE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053633156
- **Authorized official:** MELODY CHUNG A.P. (PRESIDENT)
- **Authorized official phone:** (305) 595-3533

## Contact information

- **Practice address:** 9300 GALLOWAY RD, SUITE 7, MIAMI, FL 33176-2413
- **Practice address phone:** (305) 595-3533
- **Practice address fax:** (305) 595-3551
- **Mailing address:** 9300 GALLOWAY RD, SUITE 7, MIAMI, FL 33176-2413
- **Mailing address phone:** (305) 595-3533
- **Mailing address fax:** (305) 595-3551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 2167 | FL | Yes |
| 225700000X | Massage Therapist | 2167 | FL | — |

## Other

- **Enumeration date:** 02/17/2010
- **Last updated:** 02/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2167 | HEALTH CARE CLINIC EXEMPTION | FL |
| 01 | — | AP123 | ACUPUNCTURIST | FL |
| 01 | — | MA45463 | MASSAGE THERAPIST | FL |
