Organization
ISPINE PLLC
Active
Parent organization
ISPINE PLLC
Other names
ISPINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISPINE PLLC
Authorized official
DR. STEFAN GEORGE PRIBIL MD (MEDICAL DIRECTOR)
(832) 260-6279
Entity
Organization
Contact information
Practice address
23077 GREENFIELD ROAD, SUITE 280, SOUTHFIELD, MI 48075
(248) 996-8714
(248) 595-8047
Mailing address
1188 COMMERCE PARK DR., STE#2003, ALTAMONTE , SPRINGS, FL 32714
(407) 357-0635
(407) 483-4883
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301111900
MI
207T00000X
Neurological Surgery Physician
Primary
M5448
TX
207T00000X
Neurological Surgery Physician
ME97619
FL
Other
Enumeration date
06/10/2009
Last updated
09/20/2018
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