Muscle Specific Pain Management Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

33893 Issued in FL

Legal business name

MUSCLE SPECIFIC PAIN MANAGEMENT CENTER

Practice address

1011 W Hallandale Beach Blvd Ste 108
Hallandale Beach, FL 33009-5278

Phone

(305) 290-1440

NPI assigned

Jun 3, 2018

Last updated

Jun 3, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexi Martinez, MMP

Title

Medical Massage Practioner

Phone

(305) 290-1440

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527984000000",
    "number": "1033601307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W HALLANDALE BEACH BLVD STE 108",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095278",
            "telephone_number": "305-290-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W HALLANDALE BEACH BLVD STE 108",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095278",
            "telephone_number": "305-290-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE SPECIFIC PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-03",
        "last_updated": "2018-06-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_title_or_position": "MEDICAL MASSAGE PRACTIONER",
        "authorized_official_telephone_number": "305-290-1440",
        "authorized_official_credential": "MMP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "33893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.