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Organization
PRIME ORTHO & SPINE LLC
Active
Organization
PRIME ORTHO & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATINA CANNON (ADMINISTRATOR)
(954) 751-4490
Entity
Organization
Contact information
Practice address
342 HAMBURG TPKE STE 209, WAYNE, NJ 07470-2166
(954) 751-4490
Mailing address
2001 W SAMPLE RD STE 318, DEERFIELD BEACH, FL 33064-1342
(954) 751-4490
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/11/2026
Last updated
09/11/2026
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