Provider Demographics
NPI:1437107125
Name:PAIN RELIEF MEDICAL AND REHABILITATION CENTER INC.
Entity Type:Organization
Organization Name:PAIN RELIEF MEDICAL AND REHABILITATION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIGOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-419-5035
Mailing Address - Street 1:7000 W 12TH AVE
Mailing Address - Street 2:SUITE #15
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-5154
Mailing Address - Country:US
Mailing Address - Phone:305-825-7022
Mailing Address - Fax:
Practice Address - Street 1:7000 W 12TH AVE
Practice Address - Street 2:SUITE #15
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-5154
Practice Address - Country:US
Practice Address - Phone:305-825-7022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty