Organization
INTERVENTIONAL SPINE INSTITUTE OF FLORIDA
Active
Other names
Brevard Rehabilitation Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CHRISTOPHER DOWDELL MD (CEO/MED DIRECTOR)
(321) 733-0064
Entity
Organization
Contact information
Practice address
308 S HARBOR CITY BLVD, SUITE A, MELBOURNE, FL 32901-1500
(321) 733-0064
(321) 733-7970
Mailing address
308 S HARBOR CITY BLVD, SUITE A, MELBOURNE, FL 32901-1500
(321) 733-0064
(321) 733-7970
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
ME0076009
FL
208VP0014X
Interventional Pain Medicine Physician
ME109841
FL
Other
Enumeration date
07/07/2006
Last updated
07/18/2012
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