Organization
PAIN MANAGEMENT CLINICS OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S LANDRY (MANAGING PARTNER)
(786) 233-8722
Entity
Organization
Contact information
Practice address
3308 NE 34TH ST, FORT LAUDERDALE, FL 33308-6906
(954) 564-3200
Mailing address
11555 HERON BAY BLVD, SUITE 200, CORAL SPRINGS, FL 33076-3360
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
OS9686
FL
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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