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Organization
MED QUAD SPINE CENTER
Active
Organization
MED QUAD SPINE CENTER
Active
Parent organization
CONCIERGE MEDICAL SVC II INC
Other names
MED QUAD SPINE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONCIERGE MEDICAL SVC II INC
Authorized official
HOLLY SCHISANI DO (MEDICAL DIRECTOR)
(561) 482-1144
Entity
Organization
Contact information
Practice address
4125 CLEVELAND AVE STE 1870, FORT MYERS, FL 33901-9064
(239) 400-0956
(239) 400-0109
Mailing address
9858 CLINT MOORE RD # C111-274, BOCA RATON, FL 33496-1034
(561) 482-1144
(561) 482-1145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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