Organization
PAIN RECOVERY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO MARTINEZ (PRESIDENT)
(305) 362-6550
Entity
Organization
Contact information
Practice address
1140 W 50TH ST, SUITE 202, HIALEAH, FL 33012-3440
(305) 362-6550
(305) 362-6549
Mailing address
1140 W 50TH ST, SUITE 202, HIALEAH, FL 33012-3440
(305) 362-6550
(305) 362-6549
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC10818
FL
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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