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Contact Information

ANDALUSIA PAIN, REHAB & SPORTS MEDICINE
12671 US HIGHWAY 98 W
FOUNTAIN PLAZA SUITE 215
SANDESTIN, FL32550-8300
 Phone: 850-654-4041
 Fax: 850-654-5339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ANDALUSIA PAIN, REHAB & SPORTS MEDICINE

NPI Number 1326101270
LBN Legal business name ANDALUSIA PAIN, REHAB & SPORTS MEDICINE
Authorized official JAIME FOLAND - (MD PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 10/28/2007 - About 19 years ago
Identifiers
AL License # 25663
FL License # ME89138
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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