Organization
SUNCOAST SPINE AND PAIN INSTITUTE PLLC
Active
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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