Organization
MEDICINE MAN PAIN MANAGEMENT CENTER
Active
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
Update your record
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