South Florida Pain Clinic, LLC
NPI #1609000231 in Hallandale Beach, Florida
Provider Information
- NPI Number
- 1609000231
- Entity Type
- Organization
- Organization Name
- South Florida Pain Clinic, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- May 11, 2009
- Last Updated
- May 11, 2009
Practice Location
- Address
- 1250 E HALLANDALE BEACH BLVD
- Address 2
- SUITE 602D
- City
- Hallandale Beach
- State
- Florida
- ZIP Code
- 33009-4634
- Phone
- (954) 458-4718
Authorized Official
- Name
- ANNA KRYUCHKOVA, MD
- Title
- MGMR
- Phone
- (954) 458-4718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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