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Contact Information

45TH ST PAIN MANAGEMENT LLC
5642 CORPORATE WAY
WEST PALM BEACH, FL33407-2002
 Phone: 561-469-2635
 Fax: 561-469-2614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for 45TH ST PAIN MANAGEMENT LLC · (Female)

NPI Number 1013383835
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2015
Last updated 08/16/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME97529
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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