# COREMD SPINE AND JOINTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144160490
- **Authorized official:** DR. WESSAM GERGUIS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (813) 368-9298

## Contact information

- **Practice address:** 31201 US HIGHWAY 19 N STE 3, PALM HARBOR, FL 34684-4422
- **Practice address phone:** (813) 368-9298
- **Practice address fax:** (727) 263-1057
- **Mailing address:** 4923 AUGUSTA AVE, OLDSMAR, FL 34677-6332
- **Mailing address phone:** (813) 368-9298
- **Mailing address fax:** (727) 263-1057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/30/2026
- **Last updated:** 05/12/2026