Provider Demographics
NPI:1689017618
Name:PAINLESS MEDICAL GROUP INC
Entity Type:Organization
Organization Name:PAINLESS MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GUINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-557-4755
Mailing Address - Street 1:3750 W 16TH AVE STE 238
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4665
Mailing Address - Country:US
Mailing Address - Phone:305-557-4755
Mailing Address - Fax:305-557-4709
Practice Address - Street 1:3750 W 16TH AVE STE 238
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4665
Practice Address - Country:US
Practice Address - Phone:305-557-4755
Practice Address - Fax:305-557-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10524261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation