Organization
MINIMALLY INVASIVE SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALAM I DAGHER (ADMINISTRATOR)
(561) 733-8133
Entity
Organization
Contact information
Practice address
2314 S SEACREST BLVD, SUITE 102, BOYNTON BEACH, FL 33435-6788
(561) 733-8133
(561) 733-6670
Mailing address
2401 S SEACREST BLVD, BOYNTON BEACH, FL 33435-6514
(561) 733-8133
(561) 733-6670
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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