| NPI | 1750485751 |
|---|---|
| Doing Business As | LORDEX SPINE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MILDRED JEAN LEE Supervisor 850-862-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |