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Organization
PAIN MEDICAL CENTER CORP
Active
Organization
PAIN MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YNES MERCEDES OMANA (PRESIDENT)
(954) 374-4754
Entity
Organization
Contact information
Practice address
1806 N FLAMINGO RD STE 450, PEMBROKE PINES, FL 33028-1043
(954) 374-4754
Mailing address
1806 N FLAMINGO RD STE 450, PEMBROKE PINES, FL 33028-1043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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