Provider Demographics
NPI:1962676692
Name:BROWARD PAIN &REHAB,P.A.
Entity Type:Organization
Organization Name:BROWARD PAIN &REHAB,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:POCES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-302-6820
Mailing Address - Street 1:4501 N OCEAN BLVD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5310
Mailing Address - Country:US
Mailing Address - Phone:888-777-7246
Mailing Address - Fax:561-367-0544
Practice Address - Street 1:4974 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5300
Practice Address - Country:US
Practice Address - Phone:888-777-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4400261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation