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Interventional Spine Institute Of Florida
Specialist in Rockledge, Florida
NPI 1386053106

Interventional Spine Institute Of Florida is a Specialist based in Melbourne, FL. Interventional Spine Institute Of Florida practices in Rockledge, FL. The NPI Number for Interventional Spine Institute Of Florida is 1386053106 and holds a License No. 60952 (Florida).

The current practice location address for Interventional Spine Institute Of Florida is 389 Commerce Pkwy, Rockledge, FL and can be reached out via phone at 321-733-0064 and via fax at 321-733-7970.

Location: 389 Commerce Pkwy, Rockledge, FL, 32901-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386053106
Provider Name
Interventional Spine Institute Of Florida
Credential
Provider Entity Type
Organization
Address
389 Commerce Pkwy, Rockledge, FL, 32901-1500
Phone Number
321-733-0064
Fax Number
321-733-7970
Provider Enumeration Date
08/06/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME76009 01 FL MEDICAL LICENSE
K5708 01 FL MEDICARE GROUP
1326453143 01 FL NPI-DME-MELBOURNE
10708014 01 FL CAQH
1225060338 01 FL NPI GROUP
1639101744 01 FL NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
389 Commerce Pkwy
City
Rockledge
State
Florida
Zip
32955-4202
Phone Number
321-733-0064
Fax Number
321-733-7970
person
Provider Business Mailing Address Details
Address
389 Commerce Pkwy
City
Rockledge
State
Florida
Zip
32955-4202
Phone Number
321-733-0064
Fax Number
321-733-7970
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
60952 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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