Organization
PROFESSIONAL PAIN MANAGEMENT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EREZ COHEN (PRESIDENT)
(954) 584-7009
Entity
Organization
Contact information
Practice address
3267 DAVIE BLVD, FORT LAUDERDALE, FL 33312
(954) 584-7009
(954) 584-7209
Mailing address
3267 DAVIE BLVD, FORT LAUDERDALE, FL 33312
(954) 584-7009
(954) 584-7209
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
OS4663
FL
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
05/05/2015
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