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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