Organization
PHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
NNAMDI NWAOGWUGWU MD (PRESIDENT)
(407) 291-3077
Entity
Organization
Contact information
Practice address
882 S KIRKMAN RD STE 305, ORLANDO, FL 32811-2652
(407) 291-3077
Mailing address
882 SOUTH KIRKMAN ROAD, STE 305, ORLANDO, FL 32811
(407) 291-3077
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME76735
FL
Other
Enumeration date
01/18/2008
Last updated
02/21/2011
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