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Contact Information

ST JUDE PAIN AND REHABILITATION SPECIALISTS
2828 S SEACREST BLVD STE 211
BOYNTON BEACH, FL33435
 Phone: 561-369-7644
 Fax: 561-369-3471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ST JUDE PAIN AND REHABILITATION SPECIALISTS · (Female)

NPI Number 1184011496
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2015
Last updated 07/09/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME73546
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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