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Organization
ORLANDO PAIN & MEDICAL REHABILITATION, MW, LLC
Active
Organization
ORLANDO PAIN & MEDICAL REHABILITATION, MW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH F PORTO (CEO)
(407) 927-6876
Entity
Organization
Contact information
Practice address
1768 PARK CENTER DR, SUITE NUMBER 200, ORLANDO, FL 32835-6200
(407) 927-6876
Mailing address
8133 CANYON LAKE CIR, ORLANDO, FL 32835-8211
(407) 927-6876
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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