# SOUTH DADE PAIN CENTER LLC

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

## Provider details

- **NPI number:** 1568794857
- **Authorized official:** RAFAEL F AVILES MD (OWNER)
- **Authorized official phone:** (305) 228-8605

## Contact information

- **Practice address:** 9847 SW 40TH ST, MIAMI, FL 33165-3993
- **Practice address phone:** (305) 228-8605
- **Practice address fax:** (305) 228-8604
- **Mailing address:** 9847 SW 40TH ST, MIAMI, FL 33165-3993
- **Mailing address phone:** (305) 228-8605
- **Mailing address fax:** (305) 228-8604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME67736 | FL | Yes |

## Other

- **Enumeration date:** 02/11/2010
- **Last updated:** 02/11/2010
