# SOUTH FLORIDA SPINE & SPORTS SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1730634643
- **Authorized official:** MARK STEVEN FISHMAN DO (MEMBER)
- **Authorized official phone:** (954) 551-6921

## Contact information

- **Practice address:** 3000 SW 148TH AVE STE 115, MIRAMAR, FL 33027-4181
- **Practice address phone:** (954) 551-6921
- **Mailing address:** 3000 SW 148TH AVE STE 115, MIRAMAR, FL 33027-4181
- **Mailing address phone:** (954) 551-6921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS9439 | FL | Yes |

## Other

- **Enumeration date:** 08/20/2016
- **Last updated:** 08/20/2016