ANDALUSIA PAIN, REHAB & SPORTS MEDICINE

SANDESTIN, FL
NPI1326101270
Doing Business AsEMERALD COAST SPINE SPORTS MEDICINE & REHAB
Entity TypeOrganization
Authorized ContactJAIME ARTURO FOLAND
Md President
850-654-4041
Organization Subpart ?No
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: FL  ME89138)
Additional Taxonomies2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: AL  25663)
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: FL  ME89138)
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: AL  25663)
Enumeration Date2006-12-19
Last Update Date2007-10-28
Business Address
ANDALUSIA PAIN, REHAB & SPORTS MEDICINE
12671 US HIGHWAY 98 W FOUNTAIN PLAZA SUITE 215
SANDESTIN, FL 32550-8300
Phone number: 850-654-4041
Mailing Address
ANDALUSIA PAIN, REHAB & SPORTS MEDICINE
PO BOX 6855
MIRAMAR BEACH, FL 32550-1015
Phone number: 850-654-4041