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NPI Code Detail

MEDICARE: DR.BADAWY PAIN & SPINE CENTER, LLC

MEDICARE: DR.BADAWY PAIN & SPINE CENTER, LLC
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
1261QP3300XPain Clinic/CenterME 110154FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518308170
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR.BADAWY PAIN & SPINE CENTER, LLC
Provider Business Mailing Address
First Line : 4351 HUNTERS PARK LN
Second Line :
City : ORLANDO
State : FL
Zip : 32837-7614
Country : US
Telephone Number : 407-985-4700
Fax Number : 407-985-4702
Provider Business Practice Location Address
First Line : 4351 HUNTERS PARK LN
Second Line :
City : ORLANDO
State : FL
Zip : 32837-7614
Country : US
Telephone Number : 407-574-3129
Fax Number : 407-985-4702
Authorized Official
Title or Position : OWNER
Name : AMR H. BADAWY
Credential :
Telephone Number : 407-985-4700
Provider Enumeration Date : 07/11/2013
Last Update Date : 09/02/2024

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