Provider Demographics
NPI:1568477230
Name:A PAIN CLINIC OF WEST PALM BEACH INC
Entity Type:Organization
Organization Name:A PAIN CLINIC OF WEST PALM BEACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:STOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-740-7130
Mailing Address - Street 1:1325 S CONGRESS AVE
Mailing Address - Street 2:SUITE206
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5876
Mailing Address - Country:US
Mailing Address - Phone:561-740-7130
Mailing Address - Fax:561-740-7180
Practice Address - Street 1:1325 S CONGRESS AVE
Practice Address - Street 2:SUITE206
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5876
Practice Address - Country:US
Practice Address - Phone:561-740-7130
Practice Address - Fax:561-740-7180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty