Organization
CENTERS FOR PAIN AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE SPARKS (PRACTICE ADMINISTRATOR OWNER)
(352) 874-7345
Entity
Organization
Contact information
Practice address
3221 HEIRLOOM ROSE PL, OVIEDO, FL 32766-6728
(321) 348-3399
Mailing address
3221 HEIRLOOM ROSE PL, OVIEDO, FL 32766-6728
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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