Provider Demographics
NPI:1437416005
Name:BERNOT PAIN MANAGEMENT P.A.
Entity type:Organization
Organization Name:BERNOT PAIN MANAGEMENT P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ISADORA
Authorized Official - Middle Name:
Authorized Official - Last Name:URRELYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-443-2333
Mailing Address - Street 1:5200 SW 8 ST
Mailing Address - Street 2:STE 204A
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2300
Mailing Address - Country:US
Mailing Address - Phone:305-443-2333
Mailing Address - Fax:305-443-7003
Practice Address - Street 1:5200 SW 8 ST
Practice Address - Street 2:STE 204A
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2300
Practice Address - Country:US
Practice Address - Phone:305-443-2333
Practice Address - Fax:305-443-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 91319208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty