Provider Demographics
NPI:1407938293
Name:ACCURATE MEDICAL PAIN AND REHAB CENTERS
Entity Type:Organization
Organization Name:ACCURATE MEDICAL PAIN AND REHAB CENTERS
Other - Org Name:RAFAEL CASTRO ABALLI MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:P
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-337-5511
Mailing Address - Street 1:1701 SE HILLMOOR DR
Mailing Address - Street 2:STE A 1
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 SE HILLMOOR DR
Practice Address - Street 2:STE A 1
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7552
Practice Address - Country:US
Practice Address - Phone:772-337-5511
Practice Address - Fax:772-335-7841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25001332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
1022499OtherOTHER ID NUMBER-COMMERCIAL NUMBER