Organization
MEDICAL PAIN SOLUTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL LAZO M.D. (MEDICAL DIRECTOR)
(305) 409-5400
Entity
Organization
Contact information
Practice address
45 SW 36TH CT, MIAMI, FL 33135-1040
(305) 409-5400
(305) 409-5400
Mailing address
45 SW 36TH CT, MIAMI, FL 33135-1040
(305) 409-5400
(305) 409-5400
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
ME0034107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95293
—
FL
01
—
ME0034107
MEDICAL LICENCE NO.
FL
Enumeration date
10/26/2009
Last updated
10/26/2009
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