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Organization
VITAL ORTHOPEDIC & SPINE INSTITUTE, INC
Active
Organization
VITAL ORTHOPEDIC & SPINE INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERE J MISSIRIAN MD (OWNER)
(877) 848-2507
Entity
Organization
Contact information
Practice address
4848 COCONUT CREEK PKWY # 200, COCONUT CREEK, FL 33063-3904
(877) 848-2507
Mailing address
1730 S FEDERAL HWY # 199, DELRAY BEACH, FL 33483-3309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME114632
FL
Other
Enumeration date
02/11/2016
Last updated
02/19/2016
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