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Organization
RL SPINE, PLLC
Active
Organization
RL SPINE, PLLC
Active
Other names
Florida Spine and Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DE STEFANO JR. D.C. (OWNER)
(727) 808-7542
Entity
Organization
Contact information
Practice address
7671 CITA LN UNIT 101, NEW PORT RICHEY, FL 34653-6223
(727) 339-3573
(727) 339-3697
Mailing address
7671 CITA LN UNIT 101, NEW PORT RICHEY, FL 34653-6223
(727) 339-3573
(727) 339-3697
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10924
FL
208100000X
Physical Medicine & Rehabilitation Physician
1952841215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952841215
—
FL
Enumeration date
01/24/2018
Last updated
01/24/2018
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