# THE SPINE CENTER, P.A.

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

## Provider details

- **NPI number:** 1699174375
- **Authorized official:** MR. THOMAS NGUYEN (BUSINESS MANAGER)
- **Authorized official phone:** (713) 774-5462

## Contact information

- **Practice address:** 4322 E TRADEWINDS AVE, LAUDERDALE BY THE SEA, FL 33308-5010
- **Practice address phone:** (713) 774-5462
- **Practice address fax:** (713) 774-5478
- **Mailing address:** 4322 E TRADEWINDS AVE, LAUDERDALE BY THE SEA, FL 33308-5010
- **Mailing address phone:** (713) 774-5462
- **Mailing address fax:** (713) 774-5478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME116529 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2014
- **Last updated:** 08/19/2014