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Organization
SPINE & SPORT INSTITUTE, INC.
Active
Organization
SPINE & SPORT INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARJORIE R RODD P.T., CERT M.D.T. (CEO)
(772) 567-8040
Entity
Organization
Contact information
Practice address
1345 36TH ST, VERO BEACH, FL 32960-4848
(772) 567-8040
(772) 567-8420
Mailing address
1345 36TH ST, VERO BEACH, FL 32960-4848
(772) 567-8040
(772) 567-8420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT#007940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y5581
BCBS PROVIDER #
FL
Enumeration date
03/02/2007
Last updated
02/28/2014
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