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Organization

EXTENDED LIFE PAIN & WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL SIMS (OWNER)
(954) 297-9599
Entity
Organization

Contact information

Practice address
1418 S FEDERAL HWY, DANIA BEACH, FL 33004-4349
(954) 921-9555
Mailing address
1418 S FEDERAL HWY, DANIA BEACH, FL 33004-4349
(954) 921-9555

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
HCC 8950
FL

Other

Enumeration date
07/29/2011
Last updated
07/29/2011
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