OrganizationActive
Premier Pain Inc
NPI 1053183111 · Multi-Specialty Clinic/Center · Pembroke Pines, FL
Provider details
- NPI number
- 1053183111
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ninedty Cordova, Owner(754) 888-9080
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9050 Pines Blvd Ste 301
Pembroke Pines, FL 33024-6422
Phone: (754) 888-9080
Fax: (754) 888-9280
Street-level locationGet directions
Mailing address
9050 Pines Blvd Ste 301
Pembroke Pines, FL 33024-6422
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.