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Physiatry Pain Management, P.a
Specialist in Fort Walton Beach, Florida
NPI 1720009046

Physiatry Pain Management, P.a is a Specialist based in Fort Walton Beach, FL. Physiatry Pain Management, P.a practices in Fort Walton Beach, FL. The NPI Number for Physiatry Pain Management, P.a is 1720009046 and holds a License No. ME72558 (Florida).

The current practice location address for Physiatry Pain Management, P.a is 999 Mar Walt Dr, Fort Walton Beach, FL and can be reached out via phone at 850-862-2912 and via fax at 850-862-2951.

Location: 999 Mar Walt Dr, Fort Walton Beach, FL, 32547-6758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720009046
Provider Name
Physiatry Pain Management, P.a
Credential
Provider Entity Type
Organization
Address
999 Mar Walt Dr, Fort Walton Beach, FL, 32547-6758
Phone Number
850-862-2912
Fax Number
850-862-2951
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
999 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6758
Phone Number
850-862-2912
Fax Number
850-862-2951
person
Provider Business Mailing Address Details
Address
999 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6758
Phone Number
850-862-2912
Fax Number
850-862-2951
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME72558 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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