Pain Specialist Of Orlando, INC.
Clinic/Center, Physical Therapy in Orlando, FL. Organization (NPI-2).
NPI number1619084001
StatusActive
Last updated in NPPESAug 8, 2007
Details
- NPI
- 1619084001
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain Specialist Of Orlando, INC.
- Organization subpart
- No
- Enumeration date
- Aug 23, 2006
- Last updated
- Aug 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | HCC5335 | FL | Yes |
Practice location
6005 Silver Star RdOrlando, FL 32808-8201
Phone 407-299-5003 · Fax 407-299-1471
Mailing address
6005 Silver Star RdOrlando, FL 32808-8201
Phone 407-299-5003 · Fax 407-299-1471
Authorized official
Juanito T. Estrada
President
4072995003
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