Organization
MEDICINE MAN PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY SEZHI YUAN A.P. (MEDICAL DIRECTOR)
(786) 573-4777
Entity
Organization
Contact information
Practice address
14471 S DIXIE HWY, MIAMI, FL 33176-7924
(786) 573-4777
(786) 573-4887
Mailing address
14471 S DIXIE HWY, MIAMI, FL 33176-7924
(786) 573-4777
(786) 573-4887
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
AP 1607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP 1607
STATE OF FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE
FL
Enumeration date
02/25/2009
Last updated
02/25/2009
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