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Organization

BREVARD SPINE CENTER LLC

Active
Other names
Devesa Chiropractic and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE ANDRES DEVESA D.C. (MANAGING MEMBER)
(352) 538-9768
Entity
Organization

Contact information

Practice address
878 N MIRAMAR AVE, INDIALANTIC, FL 32903-3054
(321) 676-0020
Mailing address
2080 DUNCIL LN, MALABAR, FL 32950-3215

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10213
FL

Other

Enumeration date
09/20/2011
Last updated
10/04/2011
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