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Organization
MEDICAL AND SPINE ASSOCIATES, INC.
Active
Organization
MEDICAL AND SPINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MASSI D.C. (PRESIDENT)
(386) 860-2422
Entity
Organization
Contact information
Practice address
2705 REBECCA LN, SUITE A, ORANGE CITY, FL 32763-8332
(386) 860-2422
(386) 860-2566
Mailing address
2705 REBECCA LN, SUITE A, ORANGE CITY, FL 32763-8332
(386) 860-2422
(386) 860-2566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801022215
NPI
—
01
—
CH8833
STATE LICENSE
FL
Enumeration date
06/20/2014
Last updated
06/20/2014
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