Organization
SUNSHINE PAIN MANAGEMENT MEDICAL CENTER, LLC
Active
Other names
ALLIANCE PAIN MANAGEMENT, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOGIN ANTOINE M.D. (PRESIDENT)
(305) 836-1421
Entity
Organization
Contact information
Practice address
915 NE 125TH ST STE 301, NORTH MIAMI, FL 33161-5746
(305) 836-1421
(305) 836-1442
Mailing address
915 NE 125TH ST STE 301, NORTH MIAMI, FL 33161-5746
(305) 836-1421
(305) 836-1442
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239400
—
FL
01
—
FP528A
MEDICARE
—
Enumeration date
05/03/2011
Last updated
01/09/2019
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