Premier Pain Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER PAIN INC

Practice address

9050 Pines Blvd Ste 301
Pembroke Pines, FL 33024-6422

Phone

(754) 888-9080

Fax

(754) 888-9280

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Ninedty Cordova, APRN

Title

Owner

Phone

(754) 888-9080

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1053183111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 301",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-888-9080",
            "fax_number": "754-888-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 301",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-888-9080",
            "fax_number": "754-888-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "NINEDTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-888-9080",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Care Management
• Premier Behavioral Health Services, LLC
• Premier Billing Services, LLC
• Premier Dental Center //
• Premier Healthcare Centers, LP
• Premier Vision Center Inc
• Nelson Preschel, M.D.
• Prescriptions Plus, LLC
• Kenya Presendieu
• Pressman Inc

• Multi-Specialty Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.