| NPI | 1902142656 |
|---|---|
| Doing Business As | PHYSICAL MEDICINE CENTER OF DEBARY |
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN WEBSTER Owner 321-442-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2019-08-13 |