Provider Demographics
NPI:1750587911
Name:PAIN RELIEF MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:PAIN RELIEF MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:305-569-0263
Mailing Address - Street 1:5040 NW 7ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3431
Mailing Address - Country:US
Mailing Address - Phone:305-569-0263
Mailing Address - Fax:305-569-0283
Practice Address - Street 1:5040 NW 7ST
Practice Address - Street 2:SUITE 410
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3431
Practice Address - Country:US
Practice Address - Phone:305-569-0263
Practice Address - Fax:305-569-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM19829261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service