Provider Demographics
NPI:1154725216
Name:WELLNESS & PAIN REHAB CENTERS, INC.
Entity type:Organization
Organization Name:WELLNESS & PAIN REHAB CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:LAFIELD
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:3954-367-5648
Mailing Address - Street 1:15086 SW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4368
Mailing Address - Country:US
Mailing Address - Phone:954-367-5648
Mailing Address - Fax:954-367-5652
Practice Address - Street 1:15086 SW 22ND ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4368
Practice Address - Country:US
Practice Address - Phone:954-367-5648
Practice Address - Fax:954-367-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty