Healthcare Provider Details

I. General information

NPI: 1316648306
Provider Name (Legal Business Name): TRIMED SPINE & JOINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 VIA DE PALMAS
BOCA RATON FL
33432-6007
US

IV. Provider business mailing address

307 VIA DE PALMAS
BOCA RATON FL
33432-6007
US

V. Phone/Fax

Practice location:
  • Phone: 561-750-5416
  • Fax: 561-750-5417
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: STEVEN CANTOR
Title or Position: OWNER
Credential: DC
Phone: 561-870-3845