Organization
FLA MEDICAL PAIN RELIEF & DETOX CENTER LLC
Active
Other names
Florida Medical Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS MIKUS (DIRECTOR)
(954) 966-7911
Entity
Organization
Contact information
Practice address
6740 TAFT ST, HOLLYWOOD, FL 33024-3903
(954) 966-7911
(954) 966-3352
Mailing address
6740 TAFT ST, HOLLYWOOD, FL 33024-3903
(954) 966-7911
(954) 966-3352
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
04/11/2013
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