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Organization

FLORIDA SPINE AND SPORT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT M KUSTIN DC (MANAGER)
(954) 430-8000
Entity
Organization

Contact information

Practice address
2240 SW 70TH AVE STE D, DAVIE, FL 33317-7112
(954) 430-8000
Mailing address
2240 SW 70TH AVE STE D, DAVIE, FL 33317-7112
(954) 609-6980

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
10/29/2013
Last updated
01/06/2021
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