Organization
NEXGEN LASER PAIN & REHAB CENTERS
Active
Organization
NEXGEN LASER PAIN & REHAB CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MAUTNER MD (OWNER)
(813) 928-8037
Entity
Organization
Contact information
Practice address
854 S DUNCAN DR, TAVARES, FL 32778-4044
(352) 205-6147
Mailing address
854 S DUNCAN DR, TAVARES, FL 32778-4044
(352) 205-6147
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/27/2025
Last updated
02/28/2025
Update your record
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