Organization
KENDALL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASHEM SULTAN MD (OWNER)
(305) 559-5554
Entity
Organization
Contact information
Practice address
11760 SW 40TH ST, 411, MIAMI, FL 33175-3582
(305) 559-5554
(305) 559-5515
Mailing address
PO BOX 824610, SOUTH FLORIDA, FL 33082-4610
(305) 559-5554
(305) 559-5515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME75237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME75237
MEDICAL LIC
FL
Enumeration date
03/13/2012
Last updated
04/27/2012
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