Organization
CENTRAL FLORIDA SPINE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JANE PANCAKE (OWNER)
(407) 846-9355
Entity
Organization
Contact information
Practice address
910 N MAIN ST, KISSIMMEE, FL 34744-4566
(407) 846-9355
Mailing address
910 N MAIN ST, KISSIMMEE, FL 34744-4566
(407) 846-9355
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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