Organization
PAIN PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN KOWALSKI DO, MBA (OWNER)
(954) 300-7688
Entity
Organization
Contact information
Practice address
6816 GRIFFIN RD, DAVIE, FL 33314-4341
(954) 900-3163
Mailing address
453 SW 169TH TER, WESTON, FL 33326-1530
(954) 300-7688
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
05/26/2019
Last updated
08/23/2019
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