MEDICARE: COMPREHENSIVE SPINE CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME98523	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013180967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE SPINE CENTER PLLC

Provider Business Mailing Address
First Line	:	PO BOX 17047
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33318-7047
Country	:	US
Telephone Number	:	954-747-1221
Fax Number	:	954-747-1231

Provider Business Practice Location Address
First Line	:	7710 NW 71ST CT STE 201
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2931
Country	:	US
Telephone Number	:	954-747-1221
Fax Number	:	954-747-1231

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	JULIAN ANTHONY CAMERON
Credential	:	M.D.
Telephone Number	:	954-747-1221

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	05/13/2025

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Directions to “COMPREHENSIVE SPINE CENTER PLLC ” Practice Location

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