Organization
PAIN DOCTOR CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN VALDES MD (PRESIDENT)
(305) 823-4002
Entity
Organization
Contact information
Practice address
5931 NW 173RD DR, STE 7B, HIALEAH, FL 33015-5106
(305) 823-4002
Mailing address
5931 NW 173RD DR, STE 7B, HIALEAH, FL 33015-5106
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC9547
FL
Other
Enumeration date
01/19/2012
Last updated
06/26/2012
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