Organization
FLA PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BODO PYKO D.O. (PHYSICIAN)
(407) 622-7640
Entity
Organization
Contact information
Practice address
279 DOUGLAS AVE, SUITE 1108, ALTAMONTE SPRINGS, FL 32714-3324
(407) 622-7640
(407) 622-7644
Mailing address
279 DOUGLAS AVE, SUITE 1108, ALTAMONTE SPRINGS, FL 32714-3324
(407) 622-7640
(407) 622-7644
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
OS1683
FL
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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