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Organization
INDIAN RIVER SPINE & JOINT PLLC
Active
Organization
INDIAN RIVER SPINE & JOINT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNABE PEREZ (ADMIN)
(954) 663-6562
Entity
Organization
Contact information
Practice address
880 37TH PL STE 105, VERO BEACH, FL 32960-6506
(954) 663-6562
Mailing address
11270 PINES BLVD, PEMBROKE PINES, FL 33026-4101
(954) 663-6562
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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