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Organization
STOP PAIN MEDICAL CENTER, INC.
Active
Organization
STOP PAIN MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS M RODRIGUEZ (PRESIDENT)
(305) 646-0120
Entity
Organization
Contact information
Practice address
525 NW 27TH AVE, SUITE 201, MIAMI, FL 33125-3043
(305) 646-0120
(305) 646-0119
Mailing address
525 NW 27TH AVE, SUITE 201, MIAMI, FL 33125-3043
(305) 646-0120
(305) 646-0119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC3929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC3929
HEALT CARE CLINIC LICENSE
FL
Enumeration date
07/06/2006
Last updated
08/22/2020
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