# GALAXY WELLNESS & ORTHO-SPINE CENTER LLC

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

## Provider details

- **NPI number:** 1861957425
- **Authorized official:** JOSE ALLENDE (MANAGER)
- **Authorized official phone:** (786) 536-2377

## Contact information

- **Practice address:** 9774 SW 24TH ST, MIAMI, FL 33165-7574
- **Practice address phone:** (865) 362-3777
- **Mailing address:** 9774 SW 24TH ST, MIAMI, FL 33165-7574
- **Mailing address phone:** (786) 536-2377
- **Mailing address fax:** (888) 862-2545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2019
- **Last updated:** 04/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0270619900 | — | FL |