OrganizationActive
Full Service Pain Management
NPI 1679883656 · Pain Clinic/Center · Pembroke Park, FL
Provider details
- NPI number
- 1679883656
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eduardo Mila Prats, Vp(954) 987-6100
- License
- PMC541 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
3107 W. Hallandale Beach Blvd
Suite #102
Pembroke Park, FL 33009-5144
Phone: (954) 987-6100
Fax: (954) 987-2360
Street-level locationGet directions
Mailing address
3107 W. Hallandale Beach Blvd
Pembroke Park, FL 33009-5144
Registry dates
- Enumerated
- 2010-10-08
- Last updated
- 2010-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.