Organization
FLORIDA PAIN CARE AND REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BENNIE SISON (ADMINISTRATOR)
(407) 482-3838
Entity
Organization
Contact information
Practice address
1456 S SEMORAN BLVD, ORLANDO, FL 32807-2918
(407) 482-3838
(407) 382-4095
Mailing address
1456 S SEMORAN BLVD, ORLANDO, FL 32807-2918
(407) 482-3838
(407) 382-4095
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CH5539
FL
261QH0100X
Health Service Clinic/Center
HCC8963
FL
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC 8963
FL
Other
Enumeration date
01/11/2011
Last updated
07/25/2011
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