Organization
DYNAMIC PAIN & WELLNESS PLLC
Active
Parent organization
DYNAMIC PAIN & WELLNESS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYNAMIC PAIN & WELLNESS PLLC
Authorized official
SARAH BAILEY (CREDENTIALING)
(850) 226-6801
Entity
Organization
Contact information
Practice address
28490 2ND ST, DAPHNE, AL 36526-7150
(850) 266-6801
(877) 413-5104
Mailing address
930 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547
(850) 226-6801
(877) 413-5104
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016064100
—
FL
Enumeration date
07/11/2018
Last updated
07/11/2018
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