Organization
ATLANTIC PAIN & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEAN KORNHABER DO (MEDICAL DIRECTOR)
(954) 499-4143
Entity
Organization
Contact information
Practice address
12133 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
(954) 499-4143
(954) 499-4143
Mailing address
12133 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
(954) 499-4143
(954) 499-4143
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
OS4139
FL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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