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Organization

INSTITUTO MEDICO DEL DOLOR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAVEH KARANDISH MD (D)
(786) 536-9656
Entity
Organization

Contact information

Practice address
717 PONCE DE LEON BLVD STE 218, CORAL GABLES, FL 33134-2048
(786) 536-9656
(786) 536-9653
Mailing address
717 PONCE DE LEON BLVD STE 218, CORAL GABLES, FL 33134-2048
(786) 536-9656
(786) 536-9653

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
ME103915
FL

Other

Enumeration date
02/07/2012
Last updated
02/07/2012
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