MEDICARE: INSPIRED SPINE HEALTH OF FL

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	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1740048503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRED SPINE HEALTH OF FL

Provider Business Mailing Address
First Line	:	2720 REBECCA LN STE 104
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 REBECCA LN STE 104
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8351
Country	:	US
Telephone Number	:	386-456-1160
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAMID ABBASI
Credential	:	MD
Telephone Number	:	612-656-9272

Provider Enumeration Date	:	03/07/2024
Last Update Date	:	03/07/2024

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Directions to “INSPIRED SPINE HEALTH OF FL ” Practice Location

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