Organization
COREMD SPINE AND JOINTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESSAM GERGUIS MD (MEDICAL DIRECTOR)
(813) 368-9298
Entity
Organization
Contact information
Practice address
31201 US HIGHWAY 19 N STE 3, PALM HARBOR, FL 34684-4422
(813) 368-9298
(727) 263-1057
Mailing address
4923 AUGUSTA AVE, OLDSMAR, FL 34677-6332
(813) 368-9298
(727) 263-1057
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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