# SOUTH PALM ORTHOSPINE INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598893885
- **Authorized official:** STEWART G EIDELSON MD (OWNER)
- **Authorized official phone:** (561) 742-5959

## Contact information

- **Practice address:** 15300 JOG RD, SUITE 107-108, DELRAY BEACH, FL 33446-2164
- **Practice address phone:** (561) 742-5959
- **Practice address fax:** (561) 734-2226
- **Mailing address:** 15300 JOG RD, SUITE 107-108, DELRAY BEACH, FL 33446-2164
- **Mailing address phone:** (561) 742-5959
- **Mailing address fax:** (561) 734-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME0055593 | FL | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 09/09/2014
