MEDICARE: JOINT & SPINE MEDICAL

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	OS8932	FL

General Provider Information

NPI Number	:	1538565122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOINT & SPINE MEDICAL

Provider Business Mailing Address
First Line	:	2151 E COMMERCIAL BLVD
Second Line	:	SUITE 303
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3807
Country	:	US
Telephone Number	:	954-907-0370
Fax Number	:	954-533-8500

Provider Business Practice Location Address
First Line	:	2151 E COMMERCIAL BLVD
Second Line	:	SUITE 303
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3807
Country	:	US
Telephone Number	:	954-907-0370
Fax Number	:	954-533-8500

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DANNELL B ANSCHUETZ
Credential	:	D.O.
Telephone Number	:	954-907-0370

Provider Enumeration Date	:	11/10/2014
Last Update Date	:	11/10/2014

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Directions to “JOINT & SPINE MEDICAL ” Practice Location

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