Organization · Type 2 NPI

Physiatry Pain Management, P.a

Specialist · Fort Walton Beach, FL

NPI number 1720009046 Active

Practice location

999 Mar Walt Dr
Fort Walton Beach, FL 32547-6758

Call (850) 862-2912 Map

Fax (850) 862-2951

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME72558 (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.

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About NPI 1720009046

Physiatry Pain Management, P.a's National Provider Identifier is 1720009046, issued on Jul 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Aug 22, 2020.