Organization
INTERVENTIONAL SPINE INSTITUTE OF FLORIDA
Active
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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