Organization
THE PERSONAL INJURY CLINIC INC
Active
Organization
THE PERSONAL INJURY CLINIC INC
Active
Other names
INSTITUTO DEL DOLOR
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL MARTINEZ (PRESIDENT)
(305) 823-3131
Entity
Organization
Contact information
Practice address
900 W 49TH ST, SUITE 304, HIALEAH, FL 33012-3402
(305) 823-3131
(305) 558-4267
Mailing address
900 W 49TH ST, SUITE 304, HIALEAH, FL 33012-3402
(305) 823-3131
(305) 558-4267
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC6839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AJ680
MEDICARE PTAN
FL
Enumeration date
01/02/2007
Last updated
01/13/2009
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