| NPI | 1003684697 |
|---|---|
| Former Legal Business Name | DYNAMIC PAIN & WELLNESS PLLC |
| Entity Type | Organization |
| Authorized Contact | SARAH BAILEY Credentialing 850-331-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2026-05-01 |