| Neurology & Pain Medicine Inc | |
|
1380 N Krome Ave Suite 103 Florida City FL 33034-2406 | |
| (305) 224-9487 | |
| (305) 224-9491 |
| Full Name | Neurology & Pain Medicine Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1380 N Krome Ave, Florida City, Florida |
| Authorized Official Name and Position | Angel M Carrasco (PRESIDENT) |
| Authorized Official Contact | 3052249487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology & Pain Medicine Inc 1380 N Krome Ave Suite 103 Florida City FL 33034-2406 Ph: (305) 224-9487 | Neurology & Pain Medicine Inc 1380 N Krome Ave Suite 103 Florida City FL 33034-2406 Ph: (305) 224-9487 |
| NPI Number | 1942433834 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Medicare PECOS PAC ID | 3476692351 |
|---|---|
| Medicare Enrollment ID | O20091207000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942433834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME82190 (Florida) | Primary |
| Provider Name | Angel Carrasco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891729125 PECOS PAC ID: 4385541747 Enrollment ID: I20031215000824 |
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