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Organization

DOCTORS' COMPREHENSIVE SPINE CENTER, INC

Active
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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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