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Organization

PALM COAST SPINE AND REHAB INC

Active
Other names
same
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J DEMCHAK DC (PRESIDENT)
(407) 960-3775
Entity
Organization

Contact information

Practice address
2699 LEE RD, SUITE 505, WINTER PARK, FL 32789-1753
(407) 960-3775
(407) 960-3652
Mailing address
2699 LEE RD, SUITE 505, WINTER PARK, FL 32789-1753
(407) 960-3775
(407) 960-3652

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
208VP0000X
Pain Medicine Physician
Primary
225100000X
Physical Therapist

Other

Enumeration date
05/25/2006
Last updated
06/28/2013
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