Organization
FLORIDA PAIN TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN GONZALEZ M.D. (MEDICAL DIRECTOR)
(305) 260-9803
Entity
Organization
Contact information
Practice address
11780 SW 89TH ST, 3RD FLOOR, MIAMI, FL 33186-2181
(305) 260-9803
(305) 260-9298
Mailing address
11780 SW 89TH ST, 3RD FLOOR, MIAMI, FL 33186-2181
(305) 260-9803
(305) 260-9298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME42929
FL
Other
Enumeration date
10/03/2007
Last updated
09/10/2012
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