# PAIN MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1063937340
- **Authorized official:** MIGUEL J. AGUILERA (PRESIDENT)
- **Authorized official phone:** (305) 615-9008

## Contact information

- **Practice address:** 1806 N FLAMINGO RD STE 450, PEMBROKE PINES, FL 33028-1043
- **Practice address phone:** (954) 374-4754
- **Mailing address:** 1806 N FLAMINGO RD STE 450, PEMBROKE PINES, FL 33028-1043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2017
- **Last updated:** 08/08/2017