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Organization

SPACE COAST SPINE LLC.

Active
Find providers by NPI
Organization

SPACE COAST SPINE LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL SAMBURSKY D.C. (OWNER)
(386) 281-7900
Entity
Organization

Contact information

Practice address
1402 DUNLAWTON AVE STE 2B, PORT ORANGE, FL 32127-2917
(386) 227-6688
Mailing address
1402 DUNLAWTON AVE STE 2B, PORT ORANGE, FL 32127-2917
(386) 227-6688

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—

Other

Enumeration date
09/18/2019
Last updated
12/04/2019
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