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Organization
IDEAL SPINE CENTERS LLC
Active
Organization
IDEAL SPINE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLYN CONTRERAS DC (PRESIDENT)
(407) 807-0101
Entity
Organization
Contact information
Practice address
1210 E OSCEOLA PKWY STE 302, KISSIMMEE, FL 34744-1621
(407) 807-0101
Mailing address
1210 E OSCEOLA PKWY STE 302, KISSIMMEE, FL 34744-1621
(407) 807-0101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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