Organization
APOLLO PAIN CARE LLC
Active
Organization
APOLLO PAIN CARE LLC
Active
Other names
APOLLO PAIN CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PADMAJA RANI YATHAM MD (OWNER/MEDICAL DIRECTOR)
(786) 780-1800
Entity
Organization
Contact information
Practice address
14601 SW 29TH ST STE 103, MIRAMAR, FL 33027-4714
(786) 780-1800
(786) 780-2500
Mailing address
14601 SW 29TH ST STE 103, MIRAMAR, FL 33027-4714
(786) 780-1800
(786) 780-2500
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A9NN7
BCBS
FL
Enumeration date
10/17/2017
Last updated
06/16/2023
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