NPIMap

Organization Active NPI

Full Service Pain Management

  • Pain Clinic/Center
  • Pembroke Park, FL
National Provider Identifier
1679883656
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
PMC541 Issued in FL
Legal business name
FULL SERVICE PAIN MANAGEMENT
Practice address
3107 W. Hallandale Beach Blvd
Suite #102
Pembroke Park, FL 33009-5144
Phone
(954) 987-6100
Fax
(954) 987-2360
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Eduardo Mila Prats, MD
Title
VP
Phone
(954) 987-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X PMC541 FL Primary

Addresses

Primary practice location

3107 W. Hallandale Beach Blvd
Suite #102
Pembroke Park, FL 33009-5144

Mailing address

3107 W. Hallandale Beach Blvd
Suite #102
Pembroke Park, FL 33009-5144
Phone (954) 987-6100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1679883656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 W. HALLANDALE BEACH BLVD",
            "address_2": "SUITE #102",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330095144",
            "telephone_number": "954-987-6100",
            "fax_number": "954-987-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W. HALLANDALE BEACH BLVD",
            "address_2": "SUITE #102",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330095144",
            "telephone_number": "954-987-6100",
            "fax_number": "954-987-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SERVICE PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "MILA PRATS",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-987-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "PMC541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.