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Organization
INTEGRITY SPINE AND ORTHOPEDICS LLC
Active
Organization
INTEGRITY SPINE AND ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TERRY (PRESIDENT/COO)
(904) 456-0017
Entity
Organization
Contact information
Practice address
1811 BLANDING BLVD STE 102, MIDDLEBURG, FL 32068-4935
(904) 456-0017
(904) 456-0018
Mailing address
14785 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL 32258-7407
(904) 456-0017
(904) 456-0018
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
02/29/2024
Last updated
08/30/2024
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