| NPI | 1336260967 |
|---|---|
| Doing Business As | PHYSICAL MEDICINE PAIN CENTER PA |
| Entity Type | Organization |
| Authorized Contact | JAMES KEVIN SHEA Owner 407-422-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME45929) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-01-11 |