NPI | 1770081853 |
---|---|
Doing Business As | FLORIDA SPINE AND INJURY CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT DE STEFANO Owner 727-808-7542 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch10924) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 1952841215) |
Enumeration Date | 2018-01-24 |
Last Update Date | 2018-01-24 |