# DYNAMIC PAIN & WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821531013
- **Authorized official:** MATHEW MCCUNE MD (CEO)
- **Authorized official phone:** (850) 226-6801

## Contact information

- **Practice address:** 210 S MAIN ST, CRESTVIEW, FL 32536-3737
- **Practice address phone:** (850) 226-6801
- **Practice address fax:** (877) 413-5104
- **Mailing address:** 930 MAR WALT DRIVE, UNIT C, CRESTVIEW, FL 32539-7356
- **Mailing address phone:** (850) 226-6801
- **Mailing address fax:** (877) 413-5104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 05/08/2026