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Organization
PREMIER PAIN MEDICAL CENTER, INC.
Active
Organization
PREMIER PAIN MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOSSEIN JOUKAR MD (PRESIDENT)
(305) 599-9933
Entity
Organization
Contact information
Practice address
3399 NW 72ND AVE STE 101, MIAMI, FL 33122-1355
(305) 599-9933
Mailing address
3399 NW 72ND AVE STE 101, MIAMI, FL 33122-1355
(305) 599-9933
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/16/2017
Last updated
02/27/2018
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