Organization
PAIN THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ORTEGA BORGES (PRESIDENT)
(305) 871-6712
Entity
Organization
Contact information
Practice address
6501 NW 36TH ST, STE 414, VIRGINIA GARDENS, FL 33166-6959
(305) 871-6712
Mailing address
6501 NW 36TH ST, STE 414, VIRGINIA GARDENS, FL 33166-6959
(305) 871-6712
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8992
FL
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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