NPI | 1326101270 |
---|---|
Doing Business As | EMERALD COAST SPINE SPORTS MEDICINE & REHAB |
Entity Type | Organization |
Authorized Contact | JAIME ARTURO FOLAND Md President 850-654-4041 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME89138) |
Additional Taxonomies | 2081P2900X 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 Date | 2006-12-19 |
Last Update Date | 2007-10-28 |