Provider Demographics
NPI:1427089606
Name:PREMIER PAIN CARE PL
Entity type:Organization
Organization Name:PREMIER PAIN CARE PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:S
Authorized Official - Last Name:FEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-942-3150
Mailing Address - Street 1:1600 S. FEDERAL HWY
Mailing Address - Street 2:SUITE 390/300
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062
Mailing Address - Country:US
Mailing Address - Phone:954-942-3150
Mailing Address - Fax:954-942-3157
Practice Address - Street 1:1600 S. FEDERAL HWY
Practice Address - Street 2:SUITE 390/300
Practice Address - City:PAMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062
Practice Address - Country:US
Practice Address - Phone:305-740-2336
Practice Address - Fax:305-740-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty