| NPI | 1760412977 |
|---|---|
| Doing Business As | PRO SPINE |
| Entity Type | Organization |
| Authorized Contact | AMANDA P MULLIKIN Admin Assist 772-978-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-01-06 |