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PHYSIATRY PAIN MANAGEMENT P.A NPI 1720009046


NPI Information

NPI: 1720009046
Provider Name: PHYSIATRY PAIN MANAGEMENT, P.A
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
999 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-2912
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PHYSIATRY PAIN MANAGEMENT, P.A is a specialist in Fort Walton Beach, FL. The provider is 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. PHYSIATRY PAIN MANAGEMENT, P.A NPI is 1720009046. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

999 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-758
Phone: (850) 862-2912
Fax: (850) 862-2951

The provider's authorized official is Frank C Zondlo .
The authorized official title is President and has the following contact phone number (850) 862-2912.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME72558FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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