Organization
PSL ORTHO SPINE CORP
Active
Other names
Apex Ortho Spine
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA C BEATTY (PRACTICE MANAGER)
(772) 262-0852
Entity
Organization
Contact information
Practice address
266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL 34986-2271
(772) 262-0852
(772) 245-4235
Mailing address
266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL 34986-2271
(772) 262-0852
(772) 245-4235
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/26/2022
Last updated
05/11/2023
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