# PAIN DOCTOR CENTER INC

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

## Provider details

- **NPI number:** 1255602462
- **Authorized official:** MARTIN VALDES MD (PRESIDENT)
- **Authorized official phone:** (305) 823-4002

## Contact information

- **Practice address:** 5931 NW 173RD DR, STE 7B, HIALEAH, FL 33015-5106
- **Practice address phone:** (305) 823-4002
- **Mailing address:** 5931 NW 173RD DR, STE 7B, HIALEAH, FL 33015-5106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC9547 | FL | Yes |

## Other

- **Enumeration date:** 01/19/2012
- **Last updated:** 06/26/2012