Organization · NPI-2

Apollo Pain Care LLC

Pain Medicine, Interventional Pain Medicine · Miami, FL

NPI number1831618222
StatusActive
Last updated in NPPESDec 26, 2023

Details

NPI
1831618222
Entity type
Organization (NPI-2)
Legal business name
Apollo Pain Care LLC
Organization subpart
Yes
Enumeration date
Sep 17, 2017
Certification date
Dec 26, 2023
Last updated
Dec 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine–FLYes
261QP3300X Clinic/Center, Pain–FL

Practice location

1190 Nw 95th St Ste 402
Miami, FL 33150-2067

Phone 786-780-1800 · Fax 786-780-2500

Mailing address

1190 Nw 95th St Ste 402
Miami, FL 33150-2067

Phone 786-780-1800 · Fax 786-780-2500

Authorized official

Padmaja Rani Yatham
Medical Director
7867801800

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