Provider Demographics
NPI:1225328933
Name:NERVEPAIN SOLUTIONS LLC
Entity Type:Organization
Organization Name:NERVEPAIN SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MNGR
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-395-4111
Mailing Address - Street 1:499 E PALMETTO PARK RD
Mailing Address - Street 2:SUITE # 204
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5080
Mailing Address - Country:US
Mailing Address - Phone:561-395-4111
Mailing Address - Fax:561-395-4223
Practice Address - Street 1:499 E PALMETTO PARK RD
Practice Address - Street 2:SUITE # 204
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5080
Practice Address - Country:US
Practice Address - Phone:561-395-4111
Practice Address - Fax:561-395-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Single Specialty