Physical Medicine Center of Debary

NPI #1457650939 in Debary, Florida

Provider Information

NPI Number: 1457650939
Entity Type: Organization
Organization Name: Physical Medicine Center of Debary
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRAL FLORIDA PAIN MANAGEMENT CENTERS, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 23, 2011
Last Updated: May 19, 2012

Practice Location

Address: 2955 ENTERPRISE RD
Address 2: SUITE C
City: Debary
State: Florida
ZIP Code: 32713-2711
Phone: (386) 668-9999

Authorized Official

Name: NOEMI MADERA
Title: CREDENTIALING
Phone: (386) 668-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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