Organization
GO AWAY PAIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO ALVAREZ M.A. (OWNER)
(305) 559-4100
Entity
Organization
Contact information
Practice address
9758 SW 24TH ST, MIAMI, FL 33165-7598
(305) 559-4100
(305) 559-4116
Mailing address
9758 SW 24TH ST, MIAMI, FL 33165-7598
(305) 559-4100
(305) 559-4116
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MM 26672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 52942
FLORIDA HEALTH DEPARTMENT
FL
Enumeration date
05/31/2011
Last updated
05/31/2011
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