Organization

Palm Coast Spine And Rehab Inc

May also be knows as Same

Pain Medicine Physician in Winter Park, FL(View on Map)

Legal Business Name

Palm Coast Spine And Rehab Inc

Also Known As

Same

NPI Number

1194771808

NPI Type

Organization

Enumeration Date

05/25/2006

Specialties

(Taxonomies)

Code

208VP0000X
225100000X
111NR0400X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

2699 LEE RD
2699 LEE RD

City

Winter Park
Winter Park

State

FL
FL

Postal Code

32789-1753
32789-1753

Country

US
US

Telephone Number

(407) 960-3775
(407) 960-3775

Authorized Official

Name

Michael Demchak

Title or Position

PRESIDENT

Telephone Number

(407) 960-3775

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/28/2013

Provider Address

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