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NPI Code Detail

MEDICARE: FLORIDA PAIN MANAGEMENT INSTITUTION

MEDICARE: FLORIDA PAIN MANAGEMENT INSTITUTION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation ChiropractorCH6418FL
2111NR0400XRehabilitation ChiropractorCH9595FL
3208VP0000XPain Medicine PhysicianME49756FL

General Provider Information

NPI Number : 1033360441
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA PAIN MANAGEMENT INSTITUTION
Provider Business Mailing Address
First Line : 539 S CHICKASAW TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7801
Country : US
Telephone Number : 407-382-5439
Fax Number :
Provider Business Practice Location Address
First Line : 539 S CHICKASAW TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7801
Country : US
Telephone Number : 407-382-5439
Fax Number :
Authorized Official
Title or Position : MP
Name : DR. CHRISTOPHER C. RECKSIEDLER
Credential : DC
Telephone Number : 407-382-5439
Provider Enumeration Date : 10/03/2008
Last Update Date : 10/03/2008

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Directions to “FLORIDA PAIN MANAGEMENT INSTITUTION ” Practice Location

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