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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

NPI Number 1184011496
LBN Legal business name ST JUDE PAIN AND REHABILITATION SPECIALISTS
Authorized official ALEXIS RENTA - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2015
Last updated 07/09/2018 - About 8 years ago
Identifiers
FL License # ME73546
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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