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Organization

GALLOWAY PAIN CARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY CHUNG A.P. (PRESIDENT)
(305) 595-3533
Entity
Organization

Contact information

Practice address
9300 GALLOWAY RD, SUITE 7, MIAMI, FL 33176-2413
(305) 595-3533
(305) 595-3551
Mailing address
9300 GALLOWAY RD, SUITE 7, MIAMI, FL 33176-2413
(305) 595-3533
(305) 595-3551

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2167
FL
225700000X
Massage Therapist
2167
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2167
HEALTH CARE CLINIC EXEMPTION
FL
01
AP123
ACUPUNCTURIST
FL
01
MA45463
MASSAGE THERAPIST
FL
Enumeration date
02/17/2010
Last updated
02/17/2010
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