Brevard Orthopaedic Spine & Pain Clinic Inc

NPI 1003100504 - Chiropractor - 111N00000X

NPI Details
NPI 1003100504
Enumeration Date 06/02/2011
Last Updated 06/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CATHLEEN CATHLEEN
Position ADMINISTRATOR
Phone (321) 723-7716
Fax (321) 723-0604
Practice Location
2222 S HARBOR CITY BLVD
SUITE 530
MELBOURNE FL, 32901-5594, US
Phone (321) 723-7716
Fax (321) 723-0604
Business Location
2222 S HARBOR CITY BLVD
SUITE 610
MELBOURNE FL, 32901-5594, US
Phone (321) 723-7716
Fax (321) 723-0604
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Brevard Orthopaedic Spine & Pain Clinic Inc NPI is 1003100504, taxonomy code is 111N00000X Brevard Orthopaedic Spine & Pain Clinic Inc physically located at 2222 S Harbor City Blvd, Melbourne FL, 32901-5594. NPI Number 1033115704 has the healthcare provider type.

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1003100504 NPI number is provided on an as is basis without warranty of any kind. 1003100504 is maintained by the National Plan & Provider Enumeration System. The contents of Brevard Orthopaedic Spine & Pain Clinic Inc are for informational purposes only.