NPI 1023815099
Nexgen Laser Pain & Rehab Centers
Practice location
- Address
- 854 S Duncan Dr, Tavares, FL 32778-4044
- Phone
- (352) 205-6147
Authorised official
- Name
- Todd Mautner
- Title
- Owner
- Phone
- (813) 928-8037
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Physical Therapist
Registry record
- NPI
- 1023815099
- Entity type
- Organization
- NPI issued
- 27 Feb 2025
- Record last updated
- 28 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.