Organization
HEALTH AND SPINE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS S DEL RIO III DC (OWNER)
(407) 931-3700
Entity
Organization
Contact information
Practice address
820 PALMWAY ST, KISSIMMEE, FL 34744-4542
(407) 931-3700
(407) 567-7900
Mailing address
820 PALMWAY ST, KISSIMMEE, FL 34744-4542
(407) 931-3700
(407) 567-7900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9582
FL
207L00000X
Anesthesiology Physician
ME87536
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME87536
FL
208VP0000X
Pain Medicine Physician
ME87536
FL
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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