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NPI Code Detail

MEDICARE: SPINAL CONNECTION REHAB & WELLNESS CENTER INC

MEDICARE: SPINAL CONNECTION REHAB & WELLNESS CENTER INC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1457009649
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPINAL CONNECTION REHAB & WELLNESS CENTER INC
Provider Business Mailing Address
First Line : 17101 NE 6TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-2005
Country : US
Telephone Number : 305-757-5117
Fax Number :
Provider Business Practice Location Address
First Line : 17101 NE 6TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-2005
Country : US
Telephone Number : 305-757-5117
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. LYNN LABROUSSE
Credential : DC
Telephone Number : 305-757-5117
Provider Enumeration Date : 03/16/2022
Last Update Date : 03/16/2022

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Directions to “SPINAL CONNECTION REHAB & WELLNESS CENTER INC ” Practice Location

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