# PREMIER PAIN MEDICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1598276784
- **Authorized official:** HOSSEIN JOUKAR MD (PRESIDENT)
- **Authorized official phone:** (305) 599-9933

## Contact information

- **Practice address:** 3399 NW 72ND AVE STE 101, MIAMI, FL 33122-1355
- **Practice address phone:** (305) 599-9933
- **Mailing address:** 3399 NW 72ND AVE STE 101, MIAMI, FL 33122-1355
- **Mailing address phone:** (305) 599-9933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 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