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Organization
MICROSPINE SURGERY CENTER DEFUNIAK SPRINGS LLC
Active
Organization
MICROSPINE SURGERY CENTER DEFUNIAK SPRINGS LLC
Active
Parent organization
MICROSPINE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICROSPINE INC
Authorized official
ANGEL D BARBER (ADMINISTRATOR)
(850) 892-6001
Entity
Organization
Contact information
Practice address
101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435-6323
(850) 892-6001
(850) 892-4212
Mailing address
101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435-6323
(850) 892-6001
(850) 892-4212
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6B7
BCBS PROVIDER NUMBER
FL
Enumeration date
05/23/2006
Last updated
10/09/2007
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