# DYNAMIC PAIN & WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DYNAMIC PAIN & WELLNESS PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699262980
- **Legal business name:** DYNAMIC PAIN & WELLNESS PLLC
- **Authorized official:** SARAH BAILEY (CREDENTIALING)
- **Authorized official phone:** (850) 331-2930

## Contact information

- **Practice address:** 6044 DOCTORS PARK, MILTON, FL 32570-5072
- **Practice address phone:** (850) 226-2607
- **Practice address fax:** (877) 413-5104
- **Mailing address:** 600 HOSPITAL DR, CRESTVIEW, FL 32539-7356
- **Mailing address phone:** (850) 331-2930
- **Mailing address fax:** (877) 413-5104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2018
- **Last updated:** 10/24/2018