Organization
PREMIER PAIN INC
Active
Organization
PREMIER PAIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINEDTY CORDOVA APRN (OWNER)
(754) 888-9080
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 301, PEMBROKE PINES, FL 33024-6422
(754) 888-9080
(754) 888-9280
Mailing address
9050 PINES BLVD STE 301, PEMBROKE PINES, FL 33024-6422
(754) 888-9080
(754) 888-9280
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
10/23/2023
Last updated
10/24/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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