Organization
FLORIDA BACK INSTITUTE INC
Active
Organization
FLORIDA BACK INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C FERNYHOUGH MD (PRESIDENT)
(561) 988-8988
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 309, BOCA RATON, FL 33496-2661
(561) 988-8988
(561) 912-1804
Mailing address
1905 CLINT MOORE RD, SUITE 309, BOCA RATON, FL 33496-2661
(561) 988-8988
(561) 912-1804
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
11/16/2007
Last updated
04/24/2013
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