Extended Life Pain & Wellness Center
Organization Active NPI Pain Clinic/Center · Dania Beach, FL
NPI 1487932059 · NPPES record last updated Jul 29, 2011
Key facts
- NPI
- 1487932059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- License
- HCC 8950 (FL)
- Legal business name
- EXTENDED LIFE PAIN & WELLNESS CENTER
- Practice address
- 1418 S Federal Hwy
Dania Beach, FL 33004-4349 - Phone
- (954) 921-9555
- NPI assigned
- Jul 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Carol Sims
- Title
- Owner
- Phone
- (954) 297-9599
Practitioners 1
-
Carole McLane, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | HCC 8950 | FL | Yes |
Addresses
Primary practice location
1418 S Federal Hwy
Dania Beach, FL 33004-4349
Mailing address
1418 S Federal Hwy
Dania Beach, FL 33004-4349
Phone (954) 921-9555
Other providers in Dania Beach, FL
- Dr. Robert Jacobs, Inc.
- Emad E Ekladios
- Elpaso Health Care
- Angel Marie Espinosa
- Anthony J Etienne
- Family in Distress
- Gilbert Faublas
- Marlowe Felix
- Amy Robin Fendrich
- First Class Health Solutions
All providers in Dania Beach, FL · Pain Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.