Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physiatry Pain Management, PA

Organization Specialist · NPI 1720009046

Physiatry Pain Management, PA is a Specialist in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

999 Mar Walt Dr
Fort Walton Beach, FL 32547-6758
Phone: (850) 862-2912
Fax: (850) 862-2951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME72558 (FL)

Record details

NPI number1720009046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Zondlo — President · (850) 862-2912
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address999 Mar Walt Dr, Fort Walton Beach, FL 32547-6758

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