Organization
PHYSICIAN ADVISORS LLC
Active
Other names
Laser Spine Brevard, Physician Advisors LLC, Laser Spine Orlando
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA JOHNSON (ACCOUNT MANAGER)
(425) 941-1360
Entity
Organization
Contact information
Practice address
660 PALM SPRINGS DR, ALTAMONTE SPRINGS, FL 32701-7864
(855) 614-7246
(425) 270-3769
Mailing address
6785 ARROYO DR, MELBOURNE, FL 32940-8516
(813) 731-5143
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/19/2018
Last updated
08/04/2020
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