Active NPI
South Florida Institute of Pain Management LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Miami, FL
National Provider Identifier
1225029705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME86935
- Legal business name
- SOUTH FLORIDA INSTITUTE OF PAIN MANAGEMENT LLC
- Practice address
- 10887 NW 17TH St Unit 108
Miami, FL 33172-2044 - Phone
- (786) 359-4999
- Fax
- (786) 359-4843
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bayron Malgor
- Title
- Owner
- Phone
- (305) 484-9205
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7589 | FL | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ME86935 | FL | Primary |
Addresses
Primary practice location
10887 NW 17TH St Unit 108
Miami, FL 33172-2044
Mailing address
10887 NW 17TH St Unit 108
Miami, FL 33172-2044
Phone (786) 359-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00598 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Homestead, FL
- NPI 1780676791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652918400000",
"number": "1225029705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10887 NW 17TH ST UNIT 108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331722044",
"telephone_number": "786-359-4999",
"fax_number": "786-359-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10887 NW 17TH ST UNIT 108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331722044",
"telephone_number": "786-359-4999",
"fax_number": "786-359-4843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA INSTITUTE OF PAIN MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A",
"authorized_official_last_name": "MALGOR",
"authorized_official_first_name": "BAYRON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-484-9205"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7589",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "ME86935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00598",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- South Florida Health Research Group, LLC
- South Florida Healthcare LLC
- South Florida Home Health Care Inc
- South Florida Home Service Inc
- South Florida Home Services Inc.
- South Florida Institute of Pain Management LLC
- South Florida Institute of Wellness & Rehab.
- South Florida Institute of Wellness and Rehab, LLC
- South Florida International Cardiology Consultants Inc
- South Florida International Orthopaedics PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.