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Organization
SOUTH FLORIDA INSTITUTE OF PAIN MANAGEMENT LLC
Active
Organization
SOUTH FLORIDA INSTITUTE OF PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAYRON MALGOR (OWNER)
(305) 484-9205
Entity
Organization
Contact information
Practice address
10887 NW 17TH ST UNIT 108, MIAMI, FL 33172-2044
(786) 359-4999
(786) 359-4843
Mailing address
10887 NW 17TH ST UNIT 108, MIAMI, FL 33172-2044
(786) 359-4999
(786) 359-4843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH7589
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME86935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00598
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/02/2005
Last updated
05/19/2022
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