Provider Demographics
NPI:1932244704
Name:FLORIDA INSTITUTE FOR PAIN, INC
Entity Type:Organization
Organization Name:FLORIDA INSTITUTE FOR PAIN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:SPINOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-885-1110
Mailing Address - Street 1:737 EAST 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010
Mailing Address - Country:US
Mailing Address - Phone:305-885-1110
Mailing Address - Fax:305-885-0849
Practice Address - Street 1:737 E 10TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3635
Practice Address - Country:US
Practice Address - Phone:305-885-1110
Practice Address - Fax:305-885-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5469261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC5469OtherAHCA