| Dynamic Pain & Wellness LLC | |
|
210 S Main St Crestview FL 32536-3737 | |
| (850) 226-6801 | |
| (877) 413-5104 |
| Full Name | Dynamic Pain & Wellness LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 S Main St, Crestview, Florida |
| Authorized Official Name and Position | Mathew Mccune (CEO) |
| Authorized Official Contact | 8502266801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Pain & Wellness LLC 930 Mar Walt Drive Unit C Crestview FL 32539-7356 Ph: (850) 226-6801 | Dynamic Pain & Wellness LLC 210 S Main St Crestview FL 32536-3737 Ph: (850) 226-6801 |
| NPI Number | 1821531013 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 05/08/2026 |
| Certification Date | 05/08/2026 |
| Medicare PECOS PAC ID | 8527364058 |
|---|---|
| Medicare Enrollment ID | O20170322002936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821531013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | () | Secondary |
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