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DYNAMIC PAIN & WELLNESS PLLC NPI 1285007989


NPI Information

NPI: 1285007989
Provider Name: DYNAMIC PAIN & WELLNESS PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
930 MARWALT DRIVE
SUITE B AND C
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 226-6801
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DYNAMIC PAIN & WELLNESS PLLC is an interventional pain medicine pain medicine in Fort Walton Beach, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DYNAMIC PAIN & WELLNESS PLLC NPI is 1285007989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

930 MARWALT DRIVE
SUITE B AND C
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 226-6801

The provider's authorized official is Mathew Mccune .
The authorized official title is Ceo and has the following contact phone number (850) 502-3310.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 1/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineME108551FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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