Organization
OPA-LOCKA PAIN MANAGEMENT, CORP
Active
Other names
OPA MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G PADRON M.D. (DIRECTOR/OWNER)
(305) 948-9958
Entity
Organization
Contact information
Practice address
1865 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4805
(305) 948-9958
(305) 948-9518
Mailing address
1865 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4805
(305) 948-9958
(305) 948-9518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME050431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08587
MEDICARE ID-TYPE UNSPECIFIED
FL
Enumeration date
08/10/2009
Last updated
03/30/2010
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