Provider Demographics
NPI:1891385647
Name:NORTH LAUDERDALE PAIN AND INJURY MEDICAL CENTER INC
Entity Type:Organization
Organization Name:NORTH LAUDERDALE PAIN AND INJURY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:954-366-1575
Mailing Address - Street 1:7444 ROYAL PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-6881
Mailing Address - Country:US
Mailing Address - Phone:954-366-1575
Mailing Address - Fax:954-366-1097
Practice Address - Street 1:7444 ROYAL PALM BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-6881
Practice Address - Country:US
Practice Address - Phone:954-366-1575
Practice Address - Fax:954-366-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty