Provider Demographics
NPI:1649709114
Name:PAIN FOR LESS WELLCARE CENTER LLC
Entity type:Organization
Organization Name:PAIN FOR LESS WELLCARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-485-3923
Mailing Address - Street 1:8732 NW 119TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1991
Mailing Address - Country:US
Mailing Address - Phone:786-485-3923
Mailing Address - Fax:786-485-3941
Practice Address - Street 1:8732 NW 119TH ST STE 3
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-1991
Practice Address - Country:US
Practice Address - Phone:786-485-3923
Practice Address - Fax:786-485-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty