Organization
MIA33AH01 LLC
Active
Other names
Medicus Spine & Joint
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MARUCCI DC (MGR)
(561) 222-8208
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST STE 303, MIAMI, FL 33150-2066
(789) 360-3492
Mailing address
1190 NW 95TH ST STE 303, MIAMI, FL 33150-2066
(789) 360-3492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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