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Organization

PHYSICAL MEDICINE CENTER OF DEBARY

Active
Parent organization
CENTRAL FLORIDA PAIN MANAGEMENT CENTERS, LLC
Other names
Central Florida Pain Management Centers, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL FLORIDA PAIN MANAGEMENT CENTERS, LLC
Authorized official
NOEMI MADERA (CREDENTIALING)
(386) 668-9999
Entity
Organization

Contact information

Practice address
2955 ENTERPRISE RD, SUITE C, DEBARY, FL 32713-2711
(386) 668-9999
(386) 668-0709
Mailing address
2955 ENTERPRISE RD, SUITE C, DEBARY, FL 32713-2711
(386) 668-9999
(386) 668-0709

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME07230
FL

Other

Enumeration date
03/23/2011
Last updated
05/19/2012
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