Organization
APOLLO PAIN CARE LLC
Active
Parent organization
APOLLO PAIN CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APOLLO PAIN CARE LLC
Authorized official
PADMAJA RANI YATHAM MD (MEDICAL DIRECTOR)
(786) 780-1800
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST STE 402, MIAMI, FL 33150-2067
(786) 780-1800
(786) 780-2500
Mailing address
1190 NW 95TH ST STE 402, MIAMI, FL 33150-2067
(786) 780-1800
(786) 780-2500
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
FL
261QP3300X
Pain Clinic/Center
—
FL
Other
Enumeration date
09/17/2017
Last updated
12/26/2023
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