Provider Demographics
NPI:1780317933
Name:RELIEF SPINE AND PAIN CENTERS LLC
Entity type:Organization
Organization Name:RELIEF SPINE AND PAIN CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-599-9023
Mailing Address - Street 1:3160 N 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1346
Mailing Address - Country:US
Mailing Address - Phone:954-599-9023
Mailing Address - Fax:
Practice Address - Street 1:3160 N 37TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1346
Practice Address - Country:US
Practice Address - Phone:954-599-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1043630254OtherLICENSE