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Organization
FLORIDA PAIN CARE AND REHAB CORP
Active
Organization
FLORIDA PAIN CARE AND REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BENNIE SISON (ADMINISTRATOR)
(407) 482-3838
Entity
Organization
Contact information
Practice address
1456 S SEMORAN BLVD, ORLANDO, FL 32807-2918
(407) 482-3838
(407) 382-4095
Mailing address
1456 S SEMORAN BLVD, ORLANDO, FL 32807-2918
(407) 482-3838
(407) 382-4095
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CH5539
FL
261QH0100X
Health Service Clinic/Center
HCC8963
FL
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC 8963
FL
Other
Enumeration date
01/11/2011
Last updated
07/25/2011
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