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Organization
BREVARD SPINE CENTER LLC
Active
Organization
BREVARD SPINE CENTER LLC
Active
Other names
Devesa Chiropractic and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANDRES DEVESA D.C. (MANAGING MEMBER)
(352) 538-9768
Entity
Organization
Contact information
Practice address
878 N MIRAMAR AVE, INDIALANTIC, FL 32903-3054
(321) 676-0020
Mailing address
2080 DUNCIL LN, MALABAR, FL 32950-3215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10213
FL
Other
Enumeration date
09/20/2011
Last updated
10/04/2011
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