South Florida Pain Clinic, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH FLORIDA PAIN CLINIC, LLC

Practice address

1250 E Hallandale Beach Blvd
Suite 602D
Hallandale Beach, FL 33009-4634

Phone

(954) 458-4718

NPI assigned

May 11, 2009

Organization subpart

No

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

Authorized official

Name

Anna Kryuchkova, MD

Title

MGMR

Phone

(954) 458-4718

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna H. Resnick, PT

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1740449107
  NPD (past)

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1609000231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 602D",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-458-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 602D",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-458-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PAIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "KRYUCHKOVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "954-458-4718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Broward Brace & Surgical Supports Inc
• South Florida Home Health Care Agency, LLC
• South Florida Interventional Spine Associates, LLC
• South Florida Leaders in Audiology, Inc.
• South Florida Neurology Center PA
• South Florida Pediatric Chronic Care LLC
• South Florida Surgical Alliance Corp
• Sozo LLC
• Aneta Evelyn Spadaccini, NP, APN
• Amos Spalter, RPT

• Specialist in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.