Organization
KENDALL PAIN MANAGEMENT CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAUSTO PENA CASTILLO (PRESIDENT)
(786) 616-8511
Entity
Organization
Contact information
Practice address
9260 SUNSET DR STE 219, MIAMI, FL 33173-3255
(786) 616-8511
Mailing address
9260 SUNSET DR STE 219, MIAMI, FL 33173-3255
(786) 616-8511
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME17657
FL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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