Organization
ATLANTIC SPORT & SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G SANDBORN MD (MEDICAL DIRECTOR)
(386) 445-9444
Entity
Organization
Contact information
Practice address
3 BOULDER ROCK DR, PALM COAST, FL 32137-8555
(386) 445-9444
(386) 446-2971
Mailing address
3 BOULDER ROCK DR, PALM COAST, FL 32137-8555
(386) 445-9444
(386) 446-2971
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC9168
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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