Dynamic Pain & Wellness LLC
Pain Medicine, Interventional Pain Medicine in Pensacola, FL. Organization (NPI-2).
Details
- NPI
- 1003684697
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynamic Pain & Wellness LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2023
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Other names
- Dynamic Pain & Wellness PLLC (Former Legal Business Name)
Practice location
5111 N 12th AvePensacola, FL 32504-8918
Phone 850-226-6801 · Fax 877-413-5104
Mailing address
930 Mar Walt DriveUnit C
Fort Walton Beach, FL 32547
Phone 850-226-6801 · Fax 877-413-5104
Authorized official
Sarah Bailey
Credentialing
8503313582
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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