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Organization
PAIN REHABILITATION AND WELLNESS INSTITUTE LLC
Active
Organization
PAIN REHABILITATION AND WELLNESS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUCHAKULLA N REDDY MD (MEDICAL DIRECTOR)
(352) 732-9844
Entity
Organization
Contact information
Practice address
11740 SW 97TH TER, OCALA, FL 34481-5273
(352) 732-9844
(352) 854-9966
Mailing address
1623 SW 1ST AVE, OCALA, FL 34471-6528
(352) 732-9844
(352) 732-6787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207L00000X
Anesthesiology Physician
ME78743
FL
207R00000X
Internal Medicine Physician
Primary
ME66726
FL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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