Healthcare Provider Details

I. General information

NPI: 1912299835
Provider Name (Legal Business Name): FLORIDA NEUROPATHY & PAIN CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 05/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5435 LAKE HOWELL RD
WINTER PARK FL
32792-1033
US

IV. Provider business mailing address

5435 LAKE HOWELL RD
WINTER PARK FL
32792-1033
US

V. Phone/Fax

Practice location:
  • Phone: 407-677-7272
  • Fax:
Mailing address:
  • Phone: 407-677-7272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: SCOTT ALAN WITTMER
Title or Position: OWNER
Credential: D.C
Phone: 407-677-7272