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NPI Code Detail

MEDICARE: FLORIDA SPINE ASSOCIATES LLC

MEDICARE: FLORIDA SPINE ASSOCIATES LLC
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
1208VP0014XInterventional Pain Medicine Physician
2207XS0117XOrthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number : 1437837259
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA SPINE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 670 GLADES RD STE 200
Second Line :
City : BOCA RATON
State : FL
Zip : 33431-6464
Country : US
Telephone Number : 561-495-9511
Fax Number : 561-990-7426
Provider Business Practice Location Address
First Line : 5800 CORPORATE WAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2004
Country : US
Telephone Number : 561-485-9511
Fax Number : 561-990-7426
Authorized Official
Title or Position : MANAGER
Name : BRITTANY ROSARIO
Credential :
Telephone Number : 561-495-9511
Provider Enumeration Date : 07/11/2023
Last Update Date : 03/12/2024

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Directions to “FLORIDA SPINE ASSOCIATES LLC ” Practice Location

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