Organization · Type 2 NPI

Physical Medicine Center of Debary

Specialist · Debary, FL

NPI number 1457650939 Active

Practice location

2955 Enterprise Rd, Suite C
Debary, FL 32713-2711

Fax (386) 668-0709

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	ME07230 (FL)

Specialist: 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.

Another provider at this address

Central Florida Pain Management Centers LLCPain Medicine Physician Debary, FL NPI 1629307954

Other specialist providers in Debary

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NPI record

NPI: 1457650939
Entity type: Organization (Type 2)
Issued: Mar 23, 2011
Last updated: May 19, 2012
Status: Active
Subpart: Yes of Central Florida Pain Management Centers, LLC

Other names

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Central Florida Pain Management Centers, LLC · doing business as

Authorized official

Noemi Madera
Credentialing
(386) 668-9999

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457650939

Physical Medicine Center of Debary's National Provider Identifier is 1457650939, issued on Mar 23, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Debary, FL. The record was last updated on May 19, 2012.