Organization
SOUTH FLORIDA INSTITUTE OF PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAYRON MALGOR (OWNER)
(305) 484-9205
Entity
Organization
Contact information
Practice address
10887 NW 17TH ST UNIT 108, MIAMI, FL 33172-2044
(786) 359-4999
(786) 359-4843
Mailing address
10887 NW 17TH ST UNIT 108, MIAMI, FL 33172-2044
(786) 359-4999
(786) 359-4843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH7589
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME86935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00598
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/02/2005
Last updated
05/19/2022
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