Interventional Spine Institute Of Florida, Pa

NPI 1154739258 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1154739258
Enumeration Date 08/01/2014
Last Updated 10/02/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRIAN C BRIAN
Position OWNER/CEO/PRESIDENT
Phone (321) 733-0064
Fax (321) 733-7970
Practice Location
389 COMMERCE PKWY
SUITE 120
ROCKLEDGE FL, 32955-4202, US
Phone (321) 733-0064
Fax (321) 733-7970
Business Location
308 S HARBOR CITY BLVD
SUITE A
MELBOURNE FL, 32901-1500, US
Phone (321) 733-0064
Fax (321) 733-7970
Toxanomy
Taxonomy Code 332B00000X
License State Florida
License Number 60952
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According to our database, Interventional Spine Institute Of Florida, Pa NPI is 1154739258, taxonomy code is 332B00000X and license number is 60952, license state is located at Florida. Interventional Spine Institute Of Florida, Pa physically located at 389 Commerce Pkwy, Rockledge FL, 32955-4202. NPI Number 1033115704 has the healthcare provider type.

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1154739258 NPI number is provided on an as is basis without warranty of any kind. 1154739258 is maintained by the National Plan & Provider Enumeration System. The contents of Interventional Spine Institute Of Florida, Pa are for informational purposes only.