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Organization
SOUTH DADE PAIN CENTER LLC
Active
Organization
SOUTH DADE PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL F AVILES MD (OWNER)
(305) 228-8605
Entity
Organization
Contact information
Practice address
9847 SW 40TH ST, MIAMI, FL 33165-3993
(305) 228-8605
(305) 228-8604
Mailing address
9847 SW 40TH ST, MIAMI, FL 33165-3993
(305) 228-8605
(305) 228-8604
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME67736
FL
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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