Organization · NPI-2

Apollo Pain Care LLC

Pain Medicine, Interventional Pain Medicine · Miami, FL

NPI number1902271182
StatusActive
Last updated in NPPESJun 16, 2023

Details

NPI
1902271182
Entity type
Organization (NPI-2)
Legal business name
Apollo Pain Care LLC
Organization subpart
No
Enumeration date
Dec 14, 2015
Certification date
Jun 16, 2023
Last updated
Jun 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain MedicineME0098251FLYes

Other names

  • Apollo Pain Care LLC (Doing Business As)

Practice location

7000 Sw 97th Ave Ste 214
Miami, FL 33173-1492

Phone 786-858-8577 · Fax 786-780-2500

Mailing address

7000 Sw 97th Ave Ste 214
Miami, FL 33173-1492

Phone 786-858-8577 · Fax 786-780-2500

Authorized official

Padmaja R Yartham
President/Physician
7868588577

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