Organization
SUNCOAST SPINE AND PAIN INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD DEIB MD (OWNER)
(407) 409-1987
Entity
Organization
Contact information
Practice address
910 OLD CAMP RD STE 180, THE VILLAGES, FL 32162-5605
(407) 680-2026
(407) 680-0911
Mailing address
9835 LAKE WORTH RD STE 16-143, LAKE WORTH, FL 33467-2300
(407) 680-2026
(407) 680-0911
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084V0102X
Vascular Neurology Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
07/18/2025
Last updated
10/01/2025
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