Organization
MD SPINE NOW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELIN WALKER (OFFICE ADMINISTRATOR)
(561) 296-1188
Entity
Organization
Contact information
Practice address
3618 LANTANA RD, SUITE 101, LAKE WORTH, FL 33462-2246
(561) 298-1188
(855) 440-2220
Mailing address
3618 LANTANA RD, SUITE 101, LAKE WORTH, FL 33462-2246
(561) 298-1188
(855) 440-2220
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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