| NPI | 1366645376 |
|---|---|
| Doing Business As | DEUK SPINE INSTITUTE, PRIMARY CARE OF BREVARD, INJURY TREATMENT GROUP |
| Entity Type | Organization |
| Authorized Contact | SUN MEE DEUKMEDJIAN Financial Officer 321-775-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME82061) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME84856) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME95180) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME95180) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME93866) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME111580) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL OS12589) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME93866) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME111580) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS12589) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL ME93866) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME93866) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME111580) | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL IAC Accredited 7422) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105911) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-03-17 |