Organization
DOCTORS' COMPREHENSIVE SPINE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM RUSNAK (ADMINISTRATOR)
(813) 873-9229
Entity
Organization
Contact information
Practice address
1931 W DR MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33607-6529
(813) 873-9229
(813) 873-9228
Mailing address
1931 W DR MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33607-6529
(813) 873-9229
(813) 873-9228
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH 5142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09529
BLUE CROSS
FL
Enumeration date
01/22/2007
Last updated
01/18/2008
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