Organization · NPI-2
Advance Pain & Wellness Centers
Physical Medicine & Rehabilitation · Plantation, FL
NPI number1972796928
StatusActive
Last updated in NPPESAug 23, 2007
Details
- NPI
- 1972796928
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Pain & Wellness Centers
- Organization subpart
- No
- Enumeration date
- Aug 23, 2007
- Last updated
- Aug 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | Os9851 | FL | Yes |
Practice location
8251 W Broward BlvdPlantation, FL 33324-2746
Phone 954-915-9986
Mailing address
8251 W Broward BlvdPlantation, FL 33324-2746
Phone 954-915-9986
Authorized official
Steven Burack
Owner
9549159986
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