Provider Demographics
NPI:1659546760
Name:AMERICAN PAIN MANAGEMENT CENTER INC
Entity Type:Organization
Organization Name:AMERICAN PAIN MANAGEMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:S
Authorized Official - Last Name:NOVICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-726-4448
Mailing Address - Street 1:7710 NW 71ST CT
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2973
Mailing Address - Country:US
Mailing Address - Phone:954-726-4448
Mailing Address - Fax:954-726-5472
Practice Address - Street 1:2100 45TH ST
Practice Address - Street 2:B4
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2016
Practice Address - Country:US
Practice Address - Phone:954-726-4448
Practice Address - Fax:954-726-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8471Medicare PIN