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Organization
SOUTHERN ORTHO & SPINE BRACING, LLC
Active
Organization
SOUTHERN ORTHO & SPINE BRACING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BRANT WALDRIP (OWNER)
(941) 718-3381
Entity
Organization
Contact information
Practice address
4937 CLARK RD STE 201, SARASOTA, FL 34233-3252
(941) 718-3381
Mailing address
16206 29TH CT E, PARRISH, FL 34219-1791
(941) 531-4885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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