Organization
HANLEY PAIN AND REHABILITATION CENTER INC
Active
Organization
HANLEY PAIN AND REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH MAYWALT (BILLING MANAGER)
(407) 352-1030
Entity
Organization
Contact information
Practice address
5979 VINELAND RD, SUITE 209, ORLANDO, FL 32819-7800
(407) 352-1030
(407) 352-2884
Mailing address
5979 VINELAND RD, SUITE 209, ORLANDO, FL 32819-7800
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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