Provider Demographics
NPI:1710671334
Name:NEUROPAIN AND WELLNESS, LLC
Entity Type:Organization
Organization Name:NEUROPAIN AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-577-0177
Mailing Address - Street 1:8480 W STATE ROAD 84
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4533
Mailing Address - Country:US
Mailing Address - Phone:954-577-0177
Mailing Address - Fax:954-577-0175
Practice Address - Street 1:1403 W BOYNTON BEACH BLVD STE 13
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3463
Practice Address - Country:US
Practice Address - Phone:561-374-7437
Practice Address - Fax:561-364-7414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty