Medicine Man Pain Management Center

LBN: Medicine Man Pain Management Center
Medicine Man Pain Management Center is an health care organization with primary practice located at 14471 S Dixie Hwy , Miami FL 33176-7924. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Medicine Man Pain Management Center can be contacted via phone (786) 573-4777, or through Yuan, Stanley Sezhi via phone (786) 573-4777.

Contact Information

Primary practice address
14471 S Dixie Hwy Miami FL 33176-7924
Fax: (786) 573-4887
Website:
Authorized official contact:
Name: Yuan, Stanley Sezhi A.P.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X AP 1607 Florida

Profile Details

NPI number 1457591828
LBN Legal business name Medicine Man Pain Management Center
DBA Doing business as
Authorized official Yuan, Stanley Sezhi A.P.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2009
Last updated Feb 25th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457591828 NPPES
Florida Other AP 1607 STATE OF FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE

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